Active NPI
Kaylee Ottinger, PA-C
- Physician Assistant
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9163
- Practice address
- 4049 E Williams Field Rd Ste 101
Gilbert, AZ 85295-3217 - Phone
- (480) 597-9497
- NPI assigned
- Jul 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9163 | AZ | Primary |
Addresses
Primary practice location
4049 E Williams Field Rd Ste 101
Gilbert, AZ 85295-3217
Mailing address
4049 E Williams Field Rd Ste 101
Gilbert, AZ 85295-3217
Phone (480) 597-9497
Other practice location 1
37584 N Gantzel Rd Ste 105
Queen Creek, AZ 85140-7547
Phone (480) 207-7602
Other practice location 2
1050 E Ray Rd Ste 4A
Chandler, AZ 85225-1777
Phone (480) 659-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
37584 N Gantzel Rd
Suite 105
Queen Creek, AZ 85140-7547
Phone (480) 257-3157
4049 E Williams Field Rd
Suite 101
Gilbert, AZ 85295-3217
Phone (480) 597-9497
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Gilbert, AZ
- NPI 1407467962
-
- Rehabilitation Chiropractor
- Queen Creek, AZ
- NPI 1497536841
-
- Medical Physician Assistant
- Chandler, AZ
- NPI 1891179552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1073247185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4049 E WILLIAMS FIELD RD STE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852953217",
"telephone_number": "480-597-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4049 E WILLIAMS FIELD RD STE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852953217",
"telephone_number": "480-597-9497"
}
],
"practiceLocations": [
{
"address_1": "37584 N Gantzel Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851407547",
"country_code": "US",
"telephone_number": "480-207-7602",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 E Ray Rd Ste 4A",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852251777",
"country_code": "US",
"telephone_number": "480-659-2000",
"fax_number": "480-659-3201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTTINGER",
"first_name": "KAYLEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-13",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.