Individual provider Active NPI

Jessica Ann Ott, M.D

  • Family Medicine Physician
  • Alliance, NE
National Provider Identifier
1780948778
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28787 Issued in NE
Practice address
2101 Box Butte Ave Ste 700
Alliance, NE 69301-4445
Phone
(308) 762-7244
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28787 NH
Family Medicine Physician 207Q00000X 28787 NE Primary

Addresses

Primary practice location

2101 Box Butte Ave Ste 700
Alliance, NE 69301-4445

Mailing address

2101 Box Butte Ave
Alliance, NE 69301-4444
Phone (308) 762-6660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jott@bbgh.securechart.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923001694 NE Practitioner - Family Practice 9032426069 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28787NEMDFamily Medicine Physician
28787NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Box Butte General Hospital Current Accepting new patients
Box Butte General Hospital Current Accepting new patients
Box Butte General Hospital CurrentSince Apr 6, 2021 Accepting new patients
Box Butte General Hospital CurrentSince Sep 15, 2015 Accepting new patients

Locations

2091 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

2101 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534

721 Cheyenne Ave
Hemingford, NE 69348
Phone (308) 487-3322

Interoperability endpoints

  • Direct secure messaging: jott@bbgh.securechart.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kimball County ManorKimball, NE, CCN 285256 Skilled nursing facility Adp of the SNF May 28, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1780948778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BOX BUTTE AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693014444",
            "telephone_number": "308-762-6660",
            "fax_number": "308-762-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BOX BUTTE AVE STE 700",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693014445",
            "telephone_number": "308-762-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "28787",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "28787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jott@bbgh.securechart.com",
            "affiliation": "N",
            "endpointDescription": "Jessica Ott",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2101 Box Butte Ave Ste 700",
            "city": "Alliance",
            "state": "NE",
            "country_code": "US",
            "postal_code": "693014445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alliance, NE

Sources for this page

Verify at the official NPI Registry.