Elizabeth Oti

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP020531 Issued in PA

Practice address

313 Park Edge Dr
Clinton, PA 15026-1785

Phone

(740) 877-4060

NPI assigned

Sep 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychogeriatric Services LLCGroup PAC ID 6002719226, 122 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  Nurse Practitioner, PA

  Medicare reassignment Care Compare group NPD
• Tadiso Incorporated

  • Voluntary or Charitable Agency
  • Pittsburgh, PA
  • NPI 1124194501
  NPD
• Addiction and Recovery Health Services

  • Addiction (Substance Use Disorder) Counselor
  • Pittsburgh, PA
  • NPI 1033415054
  NPD (past)

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1205486347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PARK EDGE DR",
            "city": "CLINTON",
            "state": "PA",
            "postal_code": "150261785",
            "telephone_number": "740-877-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PARK EDGE DR",
            "city": "CLINTON",
            "state": "PA",
            "postal_code": "150261785",
            "telephone_number": "740-877-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTI",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020531",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Graham, LSW
• Heritage Valley Medical Group, Inc.
• King & Associates, Inc.
• Alivia Kotouch
• Lauren E Linn, MS, LAT, ATC, PES
• Bridget Piko, PHARMD
• Dawn Marie Smitley, LSW
• Allison Thellman, BSN,RN,IBCLC
• Linda M Uhernik, CRNP
• Marie Elizabeth Wolf-Hatalowich, LSW

• All providers in Clinton, PA
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.