Individual provider Active NPI

Jennifer Sue Ott, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Sellersville, PA
National Provider Identifier
1528031424
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA053410 Issued in PA
Practice address
711 Lawn Ave
Building 3
Sellersville, PA 18960-1575
Phone
(215) 257-3700
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA053410 PA Primary

Addresses

Primary practice location

711 Lawn Ave
Building 3
Sellersville, PA 18960-1575

Mailing address

711 Lawn Ave
Sellersville, PA 18960-1575
Phone (215) 257-3700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080819000007 PA Practitioner - Physician Assistant 4587739073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Grand View HospitalGroup PAC ID 8022001924, shared by 27 NPIs, 94 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

103 Bethlehem Pike
Colmar, PA 18915-9719
Phone (215) 453-3400

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

270 Main St
Harleysville, PA 19438-2400

270 N Main St
Harleysville, PA 19438-2400
Phone (215) 257-9500

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

915 Lawn Ave
Sellersville, PA 18960-1551
Phone (215) 257-3700

Hospital & facility affiliations

  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA053410PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital CurrentSince Jun 13, 2018 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 22, 2025 Accepting new patients
Grand View Hospital CurrentSince Sep 26, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jul 22, 2025 Accepting new patients
Grand View Hospital Past Accepting new patients
Doylestown Thyroid & Endocrine Associates, LLC PastSince Jan 1, 2017 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

103 Bethlehem Pike
Colmar, PA 18915
Phone (215) 453-3400

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

270 Main St
Ste 2
Harleysville, PA 19438
Phone (215) 453-4100

270 Main St
Ste 102
Harleysville, PA 19438

424 Pottstown Ave
Pennsburg, PA 18073
Phone (484) 526-7474

1534 Park Ave
Ste 210
Quakertown, PA 18951
Phone (267) 424-8850

99 N West End Blvd
Ste 102
Quakertown, PA 18951
Phone (215) 538-0202

711 Lawn Ave
Ste 3
Sellersville, PA 18960
Phone (215) 257-8053

915 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-3270

915 Lawn Ave
Ph
Sellersville, PA 18960

711 Lawn Ave
Sellersville, PA 18960
Phone (215) 257-2727

915 Lawn Ave
Ste 203
Sellersville, PA 18960
Phone (215) 257-3697

Interoperability endpoints

  • Direct secure messaging: jott10104@direct-sluhn.org

Organizations & group practices 8

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 8

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1528031424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601575",
            "telephone_number": "215-257-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 LAWN AVE",
            "address_2": "BUILDING 3",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601575",
            "telephone_number": "215-257-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "name_prefix": "Miss",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA053410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.