Deeane Marie Otto, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1813 Issued in NE

Practice address

194 6TH Ave NE
Le Mars, IA 51031-3716

Phone

(712) 546-3690

NPI assigned

Aug 19, 2008

Last updated

May 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Floyd Valley Healthcare Hospital, Le Mars, IA, CCN 161368

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deeane.otto@avera.sdhealthlink.net

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.

• Floyd Valley Healthcare

  • Critical Access Hospital
  • Le Mars, IA
  • NPI 1326109315
  Medicare reassignment NPD
• Floyd Valley Healthcare

  dba Floyd Valley ER Services

  • Emergency Medicine Physician
  • Le Mars, IA
  • NPI 1578625653
  Medicare reassignment NPD
• Sports Rehab and Professional Therapy Associates Inc

  dba Sports Rehab & Professional Therapy

  • Rehabilitation Clinic/Center
  • Storm Lake, IA
  • NPI 1033289749
  Care Compare group
• Floyd Valley Healthcare

  dba Floyd Valley Clinics

  • Family Medicine Physician
  • Le Mars, IA
  • NPI 1447484472
  NPD
• Floyd Valley Healthcare

  dba Floyd Valley Pharmacy

  • Community/Retail Pharmacy
  • Le Mars, IA
  • NPI 1710765433
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Floyd Valley Healthcare

  • Critical Access Hospital
  • Le Mars, IA
  • NPI 1326109315
  Care Compare affiliation

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1770730996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 6TH AVE NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 6TH AVE NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313716",
            "telephone_number": "712-546-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "DEEANE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "1813",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A133056",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "59071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Leaf Therapy LLC
• Nilles Chiropractic PC
• Angela C Nilles, LISW
• Sandra Lee Norby, PT
• Donald E Odens, M.D.
• Paul Martin Parmelee, D.O.
• Paul E Schroeder & Scott B Ihrke (Drs. Ihrke & Schroeder OR Le Mars Optometric Clinic)
• Abigail Penniman, RN
• Jay Vincent Penning, DC
• Darci Robin Philipp Grave

• Nurse Practitioner in Le Mars, IA
• Providers in Le Mars, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.

Verify at the official NPI Registry.