Agatha J Ottem Lill, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0689 Issued in ND

Practice address

1750 47TH Ave S
Grand Forks, ND 58201-7595

Phone

(701) 757-8700

Fax

(701) 234-1147

NPI assigned

Jun 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Agatha J Ottem Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

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 2

Specialty

Physician Assistant

Education

University of North Dakota School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Altru Health SystemGroup PAC ID 1355251604, 675 clinicians

Sanford Medical Center FargoGroup PAC ID 8426967803, shared by 30 NPIs, 1,210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Altru Hospital Hospital, Grand Forks, ND, CCN 350019
• Lifecare Medical Center Hospital, Roseau, MN, CCN 241344
• Pembina County Memorial Hospital Hospital, Cavalier, ND, CCN 351319
• Unity Medical Center Hospital, Grafton, ND, CCN 351320
• Towner County Medical Center Hospital, Cando, ND, CCN 351331

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Altru Health System

  • Clinic/Center
  • Crookston, MN
  • NPI 1760494330
  Medicare reassignment Care Compare group
• Altru Health System

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1043309552
  Medicare reassignment NPD
• Altru Health System

  • Ambulance
  • Grand Forks, ND
  • NPI 1114485315
  NPD
• Altru Health System

  • Rural Health Clinic/Center
  • Roseau, MN
  • NPI 1770672289
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  Care Compare affiliation
• Christian Unity Hospital Corporation

  • Critical Access Hospital
  • Grafton, ND
  • NPI 1245216852
  Care Compare affiliation
• Pembina County Memorial Hospital Association

  • Critical Access Hospital
  • Cavalier, ND
  • NPI 1760542500
  Care Compare affiliation
• Towner County Medical Center Inc

  • Rural Acute Care Hospital
  • Cando, ND
  • NPI 1154352169
  Care Compare affiliation
• Lifecare Medical Center

  • Critical Access Hospital
  • Roseau, MN
  • NPI 1609861095
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1093236267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 47TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017595",
            "telephone_number": "701-757-8700",
            "fax_number": "701-234-1147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 DeMers Ave",
            "address_purpose": "LOCATION",
            "city": "East Grand Forks",
            "state": "MN",
            "postal_code": "567211812",
            "country_code": "US",
            "telephone_number": "218-773-5857",
            "fax_number": "218-773-5991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3035 DeMers Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014040",
            "country_code": "US",
            "telephone_number": "701-746-7521",
            "fax_number": "701-795-2553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4440 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582017245",
            "country_code": "US",
            "telephone_number": "701-732-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 DeMers Ave",
            "address_purpose": "LOCATION",
            "city": "East Grand Forks",
            "state": "MN",
            "postal_code": "567211833",
            "country_code": "US",
            "telephone_number": "218-733-5858",
            "fax_number": "218-733-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTEM LILL",
        "first_name": "AGATHA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12712",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "0689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aottem36545@direct.directaltru.org",
            "affiliation": "N",
            "endpointDescription": "direct mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4440 S Washington St",
            "city": "Grand Forks",
            "state": "ND",
            "country_code": "US",
            "postal_code": "582017245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AGATHA",
            "last_name": "OTTEM",
            "middle_name": "J",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Paula Osowski, PA-C
• Melissa Marie Oster, PHARM D
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• Amanda Caroline Ostlie, PTA
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• Timothy Patrick Overend, CRNA
• Charles Albert Owens, MD

• Physician Assistant in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.

Verify at the official NPI Registry.