Individual provider Active NPI

Jodi Lynn Kottwitz, FNP-C

  • Family Nurse Practitioner
  • Olean, NY
National Provider Identifier
1770929937
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346557 Issued in NY
Practice address
901 Wayne St
Olean, NY 14760-2255
Phone
(716) 257-1254
Fax
(716) 215-6170
NPI assigned
May 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 604542 NY
Family Nurse Practitioner 363LF0000X 346557 NY Primary

Addresses

Primary practice location

901 Wayne St
Olean, NY 14760-2255

Mailing address

901 Wayne St
Olean, NY 14760-2255
Phone (716) 257-1254

Other practice location 1

3117 Military Rd
Niagara Falls, NY 14304-4813
Phone (716) 257-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201208002777 NY Practitioner - Nurse Practitioner 9739591132 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
604542NYMDHome Health Registered Nurse
346557NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital Family Current Accepting new patients
Health System Physician PC Family CurrentSince Apr 12, 2021 Accepting new patients
Olean General Hospital CurrentSince Nov 1, 2020 Accepting new patients
Willcare Past Accepting new patients
Southern Tier Community Care LLC Family PastSince Sep 14, 2025 Accepting new patients

Locations

138 W Main St
Cuba, NY 14727
Phone (585) 968-0686

38 N Main St
Delevan, NY 14042
Phone (716) 707-7040

130 S Union St
Olean, NY 14760
Phone (716) 372-8642

401 N 8th St
Olean, NY 14760
Phone (716) 373-0040

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1770929937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WAYNE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602255",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WAYNE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602255",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3117 Military Rd",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143044813",
            "country_code": "US",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTTWITZ",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "604542",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.