Individual provider Active NPI

Sospeter Otieno, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Ottawa, KS
National Provider Identifier
1609418763
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
78949 Issued in KS
Practice address
2537 Eisenhower Rd
Ottawa, KS 66067-9482
Phone
(785) 242-3780
Fax
(785) 242-6397
NPI assigned
Oct 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 78949 KS Primary

Addresses

Primary practice location

2537 Eisenhower Rd
Ottawa, KS 66067-9482

Mailing address

PO Box 677
Ottawa, KS 66067-0677
Phone (785) 242-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200121002612 KS Practitioner - Nurse Practitioner 9436584406 Reassigns benefits to 6 organizations
I20200325002798 MO Practitioner - Nurse Practitioner 9436584406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Ipc Pac Healthcare Services of Missouri IncGroup PAC ID 4587950589, 16 clinicians
Kansas Post Acute Medical Services 1 PAGroup PAC ID 1557634193, 58 clinicians
CS Pacs 3 Midwest LLCGroup PAC ID 4183164734, 36 clinicians

Practice addresses (Care Compare)

111 NW Mock Ave
St Mary'S Manor
Blue Springs, MO 64014-2503
Phone (816) 228-5655

12000 Lamar Ave
Overland Park, KS 66209-2705
Phone (913) 228-1397

17500 W 119TH St
Olathe, KS 66061-9524
Phone (913) 213-1686

719 N Klein Cir
Derby, KS 67037-7019
Phone (316) 260-4447

7600 Antioch Rd
Overland Park, KS 66204-2622
Phone (913) 383-2001

8101 College Blvd
Suite 100
Overland Park, KS 66210-2671
Phone (913) 227-9605

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Layton Center, Inc. CurrentSince Feb 8, 2023 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Oct 7, 2024 Accepting new patients
Kansas Post Acute Medical Services 1 PA CurrentSince Dec 10, 2019 Accepting new patients
Elizabeth Layton Center, Inc. CurrentSince Oct 13, 2019 Accepting new patients
The Mind Clinic LLC CurrentSince Apr 12, 2023 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation CurrentSince Sep 11, 2020 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Feb 1, 2020 Accepting new patients
Ipc Pac Healthcare Services of Missouri Inc CurrentSince Jul 3, 2021 Accepting new patients

Locations

5870 N Hiatus Rd
Tamarac, FL 33321
Phone (957) 377-2954

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183

8101 College Blvd
Ste 100
Overland Park, KS 66210
Phone (913) 227-9605

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

5100 Indian Creek Pkwy
Shawnee Mission, KS 66207
Phone (913) 544-1957

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

2101 SW 21st St
Topeka, KS 66604
Phone (660) 559-6188

1600 E Rollins St
Moberly, MO 65270
Phone (660) 263-6887

1210 W Ashland St
Nevada, MO 64772
Phone (417) 667-5064

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1609418763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660670677",
            "telephone_number": "785-242-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 EISENHOWER RD",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660679482",
            "telephone_number": "785-242-3780",
            "fax_number": "785-242-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTIENO",
        "first_name": "SOSPETER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "KS",
            "license": "78949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

Verify at the official NPI Registry.