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ANNETTE BENNETT-OTTO
NPI 1073067583
Nurse Practitioner in Waukesha, WI

Active since August 12, 2016PECOS EnrolledAccepts Medicare Assignment
2717 N GRANDVIEW BLVD, WAUKESHA, WI 53188(262) 513-0700(262) 513-0707 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2022, Aug 12, 2016 (2 updates tracked since 2016).

About Annette Bennett-otto NPPES

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

ANNETTE BENNETT-OTTO (NPI 1073067583) is an individual nurse practitioner in Waukesha, Wisconsin, licensed in Wisconsin (8381-33) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1073067583
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANNETTE BENNETT-OTTO
Location Address2717 N GRANDVIEW BLVDWaukesha, WI 53188-1672
Mailing AddressW532 Rome Oak Hill RdPalmyra, WI 53156-9729 · (815) 342-1364
Phone(262) 513-0700
Fax(262) 513-0707
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 12, 2016
Last NPPES UpdateJanuary 19, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
✔ NPI 1073067583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 8381-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2717 N GRANDVIEW BLVD, Waukesha, WI 53188
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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

Annette Bennett-otto 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 ID1658667779
PECOS Enrollment IDI20181008000392
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
114 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
77 services50 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

MRS. ANN MARIE WELLMAN-KRAUSE MSW
Social Worker
2717 N GRANDVIEW BLVD, #303
WAUKESHA, WI 53188
Waukesha County (262) 544-6486
LAURI FLICK-HARTY
Counselor (Professional)
2717 N GRANDVIEW BLVD, #111
WAUKESHA, WI 53188
Waukesha County (262) 544-4540
HANSEN THERAPY, LLC
Psychologist (Counseling)
2717 N GRANDVIEW BLVD, SUITE 110
WAUKESHA, WI 53188
Waukesha County (414) 303-4205
JANE M SCHNEIDER PHD INC
Psychologist (Clinical)
2717 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 893-8155
WAUKESHA COUNSELING SERVICES
Counselor (Professional)
2717 N GRANDVIEW BLVD, SUITE 111
WAUKESHA, WI 53188
Waukesha County (262) 544-4540
MR. MATTHEW RAY KANGAS LCSW
Social Worker (Clinical)
2717 N GRANDVIEW BLVD, SUITE 303
WAUKESHA, WI 53188
Waukesha County (262) 544-6486
DR. ROBERT H VERWERT PH D
Psychologist
2717 N GRANDVIEW BLVD, #303 STRESS MANAGEMENT CLINIC
WAUKESHA, WI 53188
Waukesha County (262) 544-6486
KATHRYN M DVORAK GCNS APNP
Nurse Practitioner
2717 N GRANDVIEW BLVD, STE 202
WAUKESHA, WI 53188
Waukesha County (262) 513-0700

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 Annette Bennett-otto's NPI number?

The NPI number for Annette Bennett-otto is 1073067583. It was assigned to this individual provider in the NPPES registry on August 12, 2016.

Where is Annette Bennett-otto located?

Annette Bennett-otto practices at 2717 N Grandview Blvd, Waukesha, WI 53188. The listed phone number is (262) 513-0700.

What is Annette Bennett-otto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Annette Bennett-otto enrolled in Medicare?

Yes. Annette Bennett-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.

When was this NPI record last updated?

The NPPES record for Annette Bennett-otto was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.