Ellen Otto, APRN-NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

112284 Issued in NE

Practice address

3210 Ave B
Suite B Quick Care
Scottsbluff, NE 69361

Phone

(308) 630-0800

NPI assigned

Jul 24, 2017

Last updated

Jul 24, 2017By 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 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kimball County HospitalGroup PAC ID 5799751004, shared by 4 NPIs, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Home Health Home health agency, Cheyenne, WY, CCN 537836
• Enhabit Home Health Home health agency, Laramie, WY, CCN 537077
• Kimball Health Services Hospital, Kimball, NE, CCN 281305
• Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061

Merit-based Incentive Payment System (MIPS)

Final score

68.47 of 100Reported as group

Quality

53.04

Promoting interoperability

81

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimball County Hospital

  dba Kimball Health Services

  • Critical Access Hospital
  • Kimball, NE
  • NPI 1093780652
  Medicare reassignment NPD
• Kimball County Hospital

  dba Kimball Health Services Clinic

  • Rural Health Clinic/Center
  • Kimball, NE
  • NPI 1326027160
  Medicare reassignment NPD
• Kimball County Hospital

  dba Pine Bluffs KHS Health Clinic

  • Rural Health Clinic/Center
  • Pine Bluffs, WY
  • NPI 1629524335
  NPD
• Cheyenne Cardiovascular Consultants, LLC

  dba Cheyenne Cardiology Associates, LLC

  • Cardiovascular Disease Physician
  • Cheyenne, WY
  • NPI 1003060542
  NPD (past)

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

• Kimball County Hospital

  dba Kimball Health Services

  • Critical Access Hospital
  • Kimball, NE
  • NPI 1093780652
  Care Compare affiliation
• Regional West Medical Center

  • General Acute Care Hospital
  • Scottsbluff, NE
  • NPI 1639101199
  Care Compare affiliation
• Eden Home Health of Cheyenne, LLC

  dba Eden Home Health

  • Home Health Agency
  • Cheyenne, WY
  • NPI 1497428338
  Care Compare affiliation
• Kimball County Hospital

  dba Pine Bluffs KHS Health Clinic

  • Rural Health Clinic/Center
  • Pine Bluffs, WY
  • NPI 1629524335

  Hospital

  Care Compare affiliation
• Orion Homecare, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Laramie, WY
  • NPI 1952857674
  Care Compare affiliation

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1952824716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2197 ROAD 38",
            "city": "YODER",
            "state": "WY",
            "postal_code": "822448825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 AVE B",
            "address_2": "SUITE B QUICK CARE",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "69361",
            "telephone_number": "308-630-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Orellana
• Amy Oros-Garfia
• Orthotic Prosthetic Solutions, L.L.C.
• Sierra Ostdiek
• Stanley Osterhoudt
• Robin Elizabeth Otzel
• Zachary Owen, D.D.S
• Sophia Ozuna-Perez
• Annessa Ann Ozuna
• Polo Alonso Ozuna

• Family Nurse Practitioner in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.