Individual provider Active NPI

Laurie M Otte, NP

  • Family Nurse Practitioner
  • Grants Pass, OR
National Provider Identifier
1336557016
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201404951NP-PP Issued in OR
Practice address
1100 NE 7TH St Ste C
Grants Pass, OR 97526-1415
Phone
(541) 476-7000
Fax
(541) 476-7888
NPI assigned
Jul 26, 2014
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201404951NP-PP OR Primary

Addresses

Primary practice location

1100 NE 7TH St Ste C
Grants Pass, OR 97526-1415

Mailing address

1100 NE 7TH St Ste C
Grants Pass, OR 97526-1415
Phone (541) 476-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20141212001518 OR Practitioner - Nurse Practitioner 9638491046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Medical Group LLCGroup PAC ID 6507269115, 25 clinicians

Practice addresses (Care Compare)

1587 NW Washington Blvd
Grants Pass, OR 97526-1085
Phone (541) 471-4106

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients
Karen Joyce Hoskins MSN/FNP PC PastSince Jan 1, 2019 Accepting new patients
Mark Allen Rondeau Past Accepting new patients
Northwest Family Practice LLC Past Accepting new patients

Locations

341 E Cottage Park Dr
Ste 1
Cave Junction, OR 97523
Phone (541) 450-3625

124 NW Midland Ave
Ste J
Grants Pass, OR 97526
Phone (541) 476-8859

1587 NW Washington Blvd
Grants Pass, OR 97526
Phone (541) 471-4106

1701 NE 7th St
Grants Pass, OR 97526
Phone (541) 471-4106

Interoperability endpoints

  • Direct secure messaging: laurieotte@acmgllc.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1336557016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NE 7TH ST STE C",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261415",
            "telephone_number": "541-476-7000",
            "fax_number": "541-476-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NE 7TH ST STE C",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261415",
            "telephone_number": "541-476-7000",
            "fax_number": "541-476-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTE",
        "first_name": "LAURIE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-26",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201404951NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.