Individual provider Active NPI

Christal L Ott, FNP

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1831937465
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
310403 Issued in AZ
Practice address
1025 W 24TH St Ste 26
Yuma, AZ 85364-8372
Phone
(928) 318-6910
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 310403 AZ Primary

Addresses

Primary practice location

1025 W 24TH St Ste 26
Yuma, AZ 85364-8372

Mailing address

1025 W 24TH St Ste 26
Yuma, AZ 85364-8372
Phone (928) 318-6910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240905003906 AZ Practitioner - Nurse Practitioner 2163962044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BJD IncGroup PAC ID 9931508538, 2 clinicians

Practice addresses (Care Compare)

1025 W 24TH St
Suite 26
Yuma, AZ 85364-8372
Phone (928) 318-6910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310403AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BJD Inc Family CurrentSince Aug 1, 2024 Accepting new patients
Wellness Integrative, PLC PastSince Apr 19, 2020 Accepting new patients

Locations

1025 W 24th St
Ste 26
Yuma, AZ 85364
Phone (928) 318-6910

1207 W 16th St
Ste B
Yuma, AZ 85364
Phone (928) 318-6910

Organizations & group practices 2

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": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1831937465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W 24TH ST STE 26",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648372",
            "telephone_number": "928-318-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W 24TH ST STE 26",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648372",
            "telephone_number": "928-318-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "CHRISTAL",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "310403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.