Active NPI
Rebecca Lynn Ott, APNP
- Primary Care Nurse Practitioner
- Oshkosh, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 8269-33
- Practice address
- 1855 S Koeller St
Oshkosh, WI 54902-6186 - Phone
- (920) 738-2000
- NPI assigned
- Mar 12, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 8269-33 | WI | Primary |
Addresses
Primary practice location
1855 S Koeller St
Oshkosh, WI 54902-6186
Mailing address
1855 S Koeller St
Oshkosh, WI 54902-6186
Phone (920) 738-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100077328 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180607000239 | WI | Practitioner - Nurse Practitioner | 2264797588 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Medical Group-Fox Valley Wisconsin, Inc
Practice addresses (Care Compare)
101 Main St
Neenah, WI 54956-2570
Phone (920) 727-4200
Hospital & facility affiliations
- Ascension NE Wisconsin - St Elizabeth Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8269 | WI | MD | Physician Assistant |
| 8269-33 | WI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Calumet Hospital, Inc | Current | Accepting new patients | |
| Heart and Vascular of Wisconsin, SC | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients |
Locations
5045 W Grande Market Dr
Appleton, WI 54913
Phone (920) 747-0505
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
101 Main St
Neenah, WI 54956
Phone (920) 727-4200
1712 Monroe St
New Holstein, WI 53061
Phone (920) 882-4000
1420 Algoma St
New London, WI 54961
Phone (920) 828-8300
1855 S Koeller St
Oshkosh, WI 54902
Phone (920) 223-7010
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
WI
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
WI
Hospital & facility affiliations 2
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": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1508369059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 S KOELLER ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549026186",
"telephone_number": "920-738-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 S KOELLER ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549026186",
"telephone_number": "920-738-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "REBECCA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-12",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WI",
"license": "8269-33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100077328",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.