NPIMap

Individual provider Active NPI

Jason L Otto, MPAS

  • Medical Physician Assistant
  • Sheridan, WY
National Provider Identifier
1558697177
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
61 S Gould St
Sheridan, WY 82801-6304
Phone
(307) 675-2650
Fax
(307) 675-2651
NPI assigned
Nov 2, 2009
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

61 S Gould St
Sheridan, WY 82801-6304

Mailing address

1333 W 5TH St, Ste 110
Sheridan, WY 82801-2705
Phone (307) 675-2650

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jasonotto@sheridanhospital.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100118000084 WY Practitioner - Physician Assistant 1355483108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians

Practice addresses (Care Compare)

1333 W 5TH St
Sheridan, WY 82801-2752

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.66 of 100Reported as group
Quality
82.09
Promoting interoperability
98
Improvement activities
40
Cost
75.1

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
80.49
Promoting interoperability
94
Improvement activities
40
Cost
68.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Memorial Sameday Health & Imaging Urgent Care CurrentSince May 8, 2022 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Mar 22, 2016 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Mar 22, 2016 Accepting new patients
Gastroenterology Associates, LLC PastSince Nov 3, 2019 Accepting new patients

Locations

1333 W 5th St
Ste 110
Sheridan, WY 82801
Phone (307) 675-4610

1333 W 5th St
Ste 112
Sheridan, WY 82801
Phone (307) 675-2650

1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000

1435 Burton St
Sheridan, WY 82801
Phone (307) 672-0763

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d7c7003a-96ae-4246-aaaa-19b18f13056e/
  • Direct secure messaging: jasonotto@sheridan.cernerdirect.com

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": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1558697177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST, STE 110",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012705",
            "telephone_number": "307-675-2650",
            "fax_number": "307-675-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S GOULD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016304",
            "telephone_number": "307-675-2650",
            "fax_number": "307-675-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "JASON",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jasonotto@sheridanhospital.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "61 S Gould St",
            "city": "Sheridan",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828016304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.