Wesley D Otto, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1108427 Issued in TX

Practice address

12115 Indiana Ave
Lubbock, TX 79423-5509

Phone

(806) 745-7878

NPI assigned

Jan 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David R. Long M.D., P.a.Group PAC ID 5991006140, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• David R Long MD PA

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1831579382
  Medicare reassignment Care Compare group NPD
• Randall King

  • Audiologist-Hearing Aid Fitter
  • Lubbock, TX
  • NPI 1134473614
  NPD (past)

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

• Lubbock Heritage Hospital, LLC.

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1225289499
  Care Compare affiliation

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1811537483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794235509",
            "telephone_number": "806-531-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12115 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794235509",
            "telephone_number": "806-745-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "WESLEY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80926",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1108427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Marie Osogu, APRN
• Heather Leigh Oster, LCSW
• Monica Clare Osterbauer
• Elissa Ostrander, PHARMD
• Mohammad Otahbachi, M.D.
• Timothy S Oursbourn, RPH
• Kia Ousley, MD
• Outreach Health Community Care Services
• Outreach Health Community Care Services LP
• Megan Elizabeth Overby, M.S. SLP

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.