Active NPI
Kristen Marie Otto, M.D.
- Family Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME178853
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0064504 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Metro Community Provider Network Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Prowers County Hospital District | Current | Accepting new patients | |
| Metro Community Provider Network, Inc. | Current | 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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Federally Qualified Health Center (FQHC)
- Aurora, CO
- NPI 1558727883
-
- Critical Access Hospital
- Lamar, CO
- NPI 1821052929
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Federally Qualified Health Center (FQHC)
- Wheat Ridge, CO
- NPI 1184961492
-
- Community/Retail Pharmacy
- Aurora, CO
- NPI 1255591780
-
- General Acute Care Hospital
- Louisville, CO
- NPI 1891709192
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.