MR. KIMBERLY A OTT FNP-C
NPI 1174911713
Nurse Practitioner - Primary Care in Wheatfield, IN

Active since January 06, 2015
10342 N 100 W, WHEATFIELD, IN 46392(866) 434-3255(855) 238-6151 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Aug 22, 2023 (2 updates tracked since 2023).

About Mr. Kimberly A Ott Fnp-c NPPES

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

MR. KIMBERLY A OTT FNP-C (NPI 1174911713) is an individual primary care provider in Wheatfield, Indiana, licensed in Indiana (28143248A) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1174911713
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMR. KIMBERLY A OTTCredential: FNP-C
Location Address10342 N 100 WWheatfield, IN 46392-9704
Mailing Address10342 N 100 WWheatfield, IN 46392-9704 · (866) 434-3255 · Fax (855) 238-6151
Fax(855) 238-6151
Sole ProprietorNo
Enumeration DateJanuary 6, 2015
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
NPI 1174911713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in IN · 28143248A
10342 N 100 W, Wheatfield, IN 46392

Other Names 1

Professional Name (2)Kimberly Koppen

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 Kimberly Ott's NPI number?

The NPI number for Kimberly Ott is 1174911713. It was assigned to this individual provider in the NPPES registry on January 6, 2015. The provider is also known as Kimberly Koppen.

Where is Kimberly Ott located?

Kimberly Ott practices at 10342 N 100 W, Wheatfield, IN 46392. The listed phone number is (866) 434-3255.

What is Kimberly Ott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kimberly Ott was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.