TONYA M OTTO APRN,CNP
NPI 1003630302
Nurse Practitioner - Family in Fargo, ND

Active since November 13, 2024PECOS EnrolledAccepts Medicare Assignment
4110 51ST AVE S, FARGO, ND 58104(701) 364-3100 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tonya M Otto Aprn,cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONYA M OTTO APRN,CNP (NPI 1003630302) is an individual family provider in Fargo, North Dakota, licensed in North Dakota (200330) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003630302
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONYA M OTTOCredential: APRN,CNP
Location Address4110 51ST AVE SFargo, ND 58104-7776
Mailing Address1702 University Dr SFargo, ND 58103-4940
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
NPI 1003630302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ND · 200330
4110 51ST AVE S, Fargo, ND 58104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tonya M Otto Aprn,cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820518046
PECOS Enrollment IDI20250218003590, I20260420002356
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4110 51ST AVE S
FARGO, ND 58104
Physician Assistant
4110 51ST AVE S
FARGO, ND 58104
Physical Therapist
4110 51ST AVE S
FARGO, ND 58104
Non-Pharmacy Dispensing Site
4110 51ST AVE S
FARGO, ND 58104
Physician Assistant
4110 51ST AVE S
FARGO, ND 58104
Nurse Practitioner (Family)
4110 51ST AVE S
FARGO, ND 58104
Pediatrics
4110 51ST AVE S
FARGO, ND 58104
Physician Assistant
4110 51ST AVE S
FARGO, ND 58104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tonya Otto's NPI number?

The NPI number for Tonya Otto is 1003630302. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Tonya Otto located?

Tonya Otto practices at 4110 51st Ave S, Fargo, ND 58104. The listed phone number is (701) 364-3100.

What is Tonya Otto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tonya Otto enrolled in Medicare?

Yes. Tonya Otto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tonya Otto accept?

Health plans from Sanford Health Plan list Tonya Otto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tonya Otto affiliated with any hospitals?

According to CMS data, Tonya Otto is affiliated with Essentia Health.

When was this NPI record last updated?

The NPPES record for Tonya Otto was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.