Individual provider Active NPI

Kristen Marie Otto, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1285098418
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME178853 Issued in FL
Practice address
801 N Magnolia Ave
Orlando, FL 32803-3851
Phone
(321) 800-2922
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0064504 CO
Family Medicine Physician 207Q00000X ME178853 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

801 N Magnolia Ave
Orlando, FL 32803-3851

Mailing address

801 N Magnolia Ave
Orlando, FL 32803-3851
Phone (321) 800-2922

Other practice location 1

3181 SW Sam Jackson Park Rd
Ohsu
Portland, OR 97239-3011
Phone (503) 494-8211

Other practice location 2

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (303) 430-5560

Other practice location 3

83 W Miller St
orlando, FL 32806-2031
Phone (321) 841-5281

Other names 1

  • Dr. Kristen Marie Roehl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201111000764 CO Practitioner - Family Practice 9537447370 Reassigns benefits to 2 organizations
I20260225004553 FL Practitioner - Family Practice 9537447370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Community Provider Network IncGroup PAC ID 0648181214, shared by 18 NPIs, 41 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

15132 E Hampden Ave
Aurora, CO 80014-5038
Phone (303) 360-6276

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-8555

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0064504COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jan 11, 2026 Accepting new patients
Metro Community Provider Network Inc CurrentSince Oct 5, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 11, 2026 Accepting new patients
Prowers County Hospital District CurrentSince Oct 9, 2021 Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Oct 5, 2022 Accepting new patients
Metro Community Provider Network Inc Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

3292 Peoria St
Aurora, CO 80010
Phone (303) 343-6130

2255 S Oneida St
Denver, CO 80224

403 Kendall Dr
Lamar, CO 81052
Phone (719) 336-6767

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1285098418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N MAGNOLIA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033851",
            "telephone_number": "321-800-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MAGNOLIA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033851",
            "telephone_number": "321-800-2922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_2": "OHSU",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14300 Orchard Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800239206",
            "country_code": "US",
            "telephone_number": "303-430-5560",
            "fax_number": "303-430-5565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "83 W MILLER ST",
            "address_purpose": "LOCATION",
            "city": "orlando",
            "state": "FL",
            "postal_code": "328062031",
            "country_code": "US",
            "telephone_number": "321-841-5281",
            "fax_number": "321-843-2068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTO",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0064504",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME178853",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ROEHL",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.