ALEXIS B OTTESON DNP, APRN, CNM
NPI 1184461030
Advanced Practice Midwife in Staples, MN

Q: What is Alexis Otteson's NPI number?

The NPI number for Alexis Otteson is 1184461030. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Q: What is Alexis Otteson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Otteson was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since July 09, 2024PECOS EnrolledAccepts Medicare Assignment

49725 COUNTY 83, STAPLES, MN 56479(218) 894-1515(218) 894-8767 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2024, Jul 9, 2024 (2 updates tracked since 2024).

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About Alexis B Otteson Dnp, Aprn, Cnm NPPES

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

ALEXIS B OTTESON DNP, APRN, CNM (NPI 1184461030) is an individual advanced practice midwife in Staples, Minnesota, licensed in Minnesota (586) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2024).

NPPES Registry Identity

NPI1184461030

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameALEXIS B OTTESONCredential: DNP, APRN, CNM

Location Address49725 COUNTY 83Staples, MN 56479-5280

Mailing Address49725 County 83Staples, MN 56479-5280 · (218) 894-1515 · Fax (218) 894-8767

Phone(218) 894-1515

Fax(218) 894-8767

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2024

Enumeration DateJuly 9, 2024

Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration

NPPES CertifiedNovember 15, 2024

✔ NPI 1184461030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in MN · 586

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

49725 COUNTY 83, Staples, MN 56479

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexis B Otteson Dnp, Aprn, Cnm 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 ID6709323884

PECOS Enrollment IDI20240807001425

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.

Medicare Billing Reassignment

Medicare enrollment records show Alexis Otteson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakewood Health System

Same address

Critical Access

49725 COUNTY 83
Staples, MN 56479

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1124019054 (Minnesota)
179 clinicians in this Medicare group

NPI 1295726362 (218) 894-1515

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56479 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

LAKEWOOD HEALTH SYSTEM

Durable Medical Equipment & Medical Supplies