Active NPI
Ann Ottesen, NP
- Occupational Medicine Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 202212407NP-PP
- Practice address
- 3350 NE Manchester CT
Bend, OR 97701-8360 - Phone
- (541) 640-7243
- Fax
- (541) 645-7243
- NPI assigned
- Oct 3, 2022
- Last updated
- Jun 15, 2026
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ostomy Care Registered Nurse | 163WX1500X | 20140455RN | OR | |
| Primary Care Nurse Practitioner | 363LP2300X | 2022124070NP-PP | OR | |
| Nurse Practitioner | 363L00000X | 202212407NP-PP | OR | |
| Wound Care Registered Nurse | 163WW0000X | 20140455RN | OR | |
| Occupational Medicine Physician | 2083X0100X | 202212407NP-PP | OR | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 2022124070NP-PP | OR | |
| Gerontology Nurse Practitioner | 363LG0600X | 2022124070NP-PP | OR | |
| Registered Nurse | 163W00000X | 20140455RN | OR |
Addresses
Primary practice location
3350 NE Manchester CT
Bend, OR 97701-8360
Mailing address
2660 NE Highway 20 Ste 610
Bend, OR 97701-6403
Phone (541) 762-2727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500812411 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
375 NW Beaver St
Suite 101
Prineville, OR 97754-1802
Phone (541) 316-6026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022124070NP-PP | OR | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Community Health | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Pacific Sage LLC | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients |
Locations
2660 NE Highway 20
Ste 610
Bend, OR 97701
Phone (541) 228-4775
527 NE Bellevue Dr
Ste 200
Bend, OR 97701
Phone (541) 640-7243
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
375 NW Beaver St
Ste 101
Prineville, OR 97754
Phone (541) 316-6026
1555 S Highway 97
#101
Redmond, OR 97756
Phone (541) 204-4304
3818 SW 21st St
Ste 100
Redmond, OR 97756
Phone (541) 548-2899
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.
-
dba Mosaic Medical
- Federally Qualified Health Center (FQHC)
- Prineville, OR
- NPI 1083633184
-
dba Musculoskeletal Clinic
- Sports Medicine (Family Medicine) Physician
- Eugene, OR
- NPI 1437660768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1699499582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 NE HIGHWAY 20 STE 610",
"city": "BEND",
"state": "OR",
"postal_code": "977016403",
"telephone_number": "541-762-2727",
"fax_number": "541-645-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 NE MANCHESTER CT",
"city": "BEND",
"state": "OR",
"postal_code": "977018360",
"telephone_number": "541-640-7243",
"fax_number": "541-645-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTESEN",
"first_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WX1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ostomy Care",
"state": "OR",
"license": "20140455RN",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OR",
"license": "2022124070NP-PP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "202212407NP-PP",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "OR",
"license": "20140455RN",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "OR",
"license": "202212407NP-PP",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OR",
"license": "2022124070NP-PP",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OR",
"license": "2022124070NP-PP",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "20140455RN",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500812411",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
- Linda Marie Osborne
- Therese Osborne, DC
- Wynne Louise Osborne, LPC
- Sarah Osmulski, MD
- Osprey Physical Therapy and Sports Medicine, LLC. (Osprey Physical Therapy and Sports Medicine)
- Eric Magnus Ottesen, RN
- James Kosta Otto
- Outside Movement Physical Therapy
- Kelly Angela Overdorf
- Overland Speech and Swallowing Rehabilitation, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.