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JENNIFER LYNN OTIS
NPI 1013517978
Physician Assistant - Medical in Albuquerque, NM

Active since October 29, 2020PECOS Enrolled
3741 RUTLEDGE RD NE, ALBUQUERQUE, NM 87109(505) 798-9300(505) 798-0808 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Lynn Otis NPPES

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

JENNIFER LYNN OTIS (NPI 1013517978) is an individual medical provider in Albuquerque, New Mexico and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013517978
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER LYNN OTIS
Location Address3741 RUTLEDGE RD NEAlbuquerque, NM 87109-5566
Mailing Address9200 Lona Ln NeAlbuquerque, NM 87111-1619
Phone(505) 798-9300
Fax(505) 798-0808
Sole ProprietorNo
Enumeration DateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
✔ NPI 1013517978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
3741 RUTLEDGE RD NE, Albuquerque, NM 87109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lynn Otis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 10

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

MRS. STEPHANIE ROSE SIMMONS CGC
Genetic Counselor, MS
3741 RUTLEDGE RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 798-9300
JOELLE LEACOCK CNM
Advanced Practice Midwife
3741 RUTLEDGE RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 798-9300
PINON PERINATAL INC
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3741 RUTLEDGE RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 798-9300
MRS. LESLIE GODWIN CGC
Genetic Counselor, MS
3741 RUTLEDGE RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 798-9300
MELANIE KING MS
Genetic Counselor, MS
3741 RUTLEDGE RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 798-9300
MS. KATHY LYNN MORRIS M.S.S.W.
Genetic Counselor, MS
3741 RUTLEDGE RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 798-9300
DR. MADHURIMA KRISHNA KEERTHY M.D
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3741 RUTLEDGE RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 798-9300
JENNIFER LYNN MEDINA CNP
Nurse Practitioner
3741 RUTLEDGE RD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 798-9300

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 Jennifer Otis's NPI number?

The NPI number for Jennifer Otis is 1013517978. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Where is Jennifer Otis located?

Jennifer Otis practices at 3741 Rutledge Rd NE, Albuquerque, NM 87109. The listed phone number is (505) 798-9300.

What is Jennifer Otis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Otis enrolled in Medicare?

Yes. Jennifer Otis is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Otis accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Jennifer Otis 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.

When was this NPI record last updated?

The NPPES record for Jennifer Otis was last updated on October 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.