BETHANY GRACE AVILA OTTE FNP-C
NPI 1194265744
Nurse Practitioner - Primary Care in Beverly, MA

Q: What is Bethany Otte's NPI number?

The NPI number for Bethany Otte is 1194265744. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Q: What is Bethany Otte's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bethany Otte was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 March 01, 2017PECOS EnrolledAccepts Medicare Assignment

152 CONANT ST STE 200, BEVERLY, MA 01915(978) 922-2226 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Dec 7, 2022, Nov 3, 2022 and 1 more (4 updates tracked since 2017).

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About Bethany Grace Avila Otte Fnp-c NPPES

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

BETHANY GRACE AVILA OTTE FNP-C (NPI 1194265744) is an individual primary care provider in Beverly, Massachusetts, licensed in Massachusetts (RN2367980) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of Emory University School Of Medicine (2016).

NPPES Registry Identity

NPI1194265744

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameBETHANY GRACE AVILA OTTECredential: FNP-C

Location Address152 CONANT ST STE 200Beverly, MA 01915-1659

Mailing Address152 Conant St Ste 200Beverly, MA 01915-1659 · (978) 922-2226 · Fax (978) 922-2269

Phone(978) 922-2226

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2016

Enumeration DateMarch 1, 2017

Last NPPES UpdateJune 30, 20254 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1194265744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Licenses✔ Licensed in MA · RN2367980✔ Licensed in CA · 95006063

Also ListedRegistered NurseTaxonomy 163W00000X · License 95104464 (CA)

152 CONANT ST STE 200, Beverly, MA 01915

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Bethany Grace Avila Otte Fnp-c 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 ID3577803816

PECOS Enrollment IDI20221205000309

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 3

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220029

Location25 Highland AvenueNewburyport, MA 01950 · Essex County

Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220033

Location85 Herrick StreetBeverly, MA 01915 · Essex County

Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01915 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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 7

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

TIMOTHY RAYMOND KELLIHER MD

Psychiatry & Neurology (Neurology)