Individual provider Active NPI

Kaylee Ottinger, PA-C

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1073247185
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9163 Issued in AZ
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

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122003097 AZ Practitioner - Physician Assistant 3577931542 Reassigns benefits to 3 organizations

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
QC Combs 2 LLCGroup PAC ID 9133666597, 5 clinicians
Gilbert Recker 2, LLCGroup PAC ID 2668870874, 7 clinicians

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.

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

Verify at the official NPI Registry.