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MICHELLE W. OTTO N.P.
NPI 1366773640
Nurse Practitioner - Adult Health in Culpeper, VA

Active since January 26, 2010PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
545 SUNSET LN, CULPEPER, VA 22701(540) 829-4352(540) 829-4260 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle W. Otto N.p. NPPES

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

MICHELLE W. OTTO N.P. (NPI 1366773640) is an individual adult health provider in Culpeper, Virginia, licensed in Virginia (0024171582) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Novant Health Uva Health System Culpeper Med Cente, and is a graduate of Brody School Of Medicine At East Carolina University (2009).

NPPES Registry Identity

NPI1366773640
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMICHELLE W. OTTOCredential: N.P.
Location Address545 SUNSET LNCulpeper, VA 22701-3914
Mailing AddressPo Box 748613Atlanta, GA 30384-8613 · (434) 295-1000
Phone(540) 829-4352
Fax(540) 829-4260
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2009
Enumeration DateJanuary 26, 2010
Last NPPES UpdateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1366773640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in VA · 0024171582✔ Licensed in NC · 5004635
545 SUNSET LN, Culpeper, VA 22701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Michelle W. Otto N.p. 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 ID6002034964
PECOS Enrollment IDI20140905002434
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 Reassignments

2

Medicare enrollment records show Michelle Otto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uva Community Health Medical Group, LLC
Same address
Internal Medicine
501 SUNSET LN
Culpeper, VA 22701
  • Reassigned Medicare billing, Virginia enrollment
  • 584 clinicians in this Medicare group
NPI 1992157580 (540) 829-4100
University Of Virginia Physicians Group
40 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

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

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
80 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22701 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Other Providers at the Same Location NPPES 3

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

JONATHAN M FIELDS PHARMD
Pharmacist
545 SUNSET LN, SUITE 101
CULPEPER, VA 22701
Culpeper County (540) 829-8893
ALI MAHJOUB M.D.
Internal Medicine (Medical Oncology)
545 SUNSET LN
CULPEPER, VA 22701
Culpeper County (540) 829-4352
PRANAV D. PATEL M.D.
Internal Medicine (Medical Oncology)
545 SUNSET LN
CULPEPER, VA 22701
Culpeper County (540) 829-4352

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 Michelle Otto's NPI number?

The NPI number for Michelle Otto is 1366773640. It was assigned to this individual provider in the NPPES registry on January 26, 2010.

Where is Michelle Otto located?

Michelle Otto practices at 545 Sunset Ln, Culpeper, VA 22701. The listed phone number is (540) 829-4352.

What is Michelle Otto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Michelle Otto enrolled in Medicare?

Yes. Michelle 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.

Which organizations bill Medicare for Michelle Otto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Otto reassigns Medicare benefits to 2 organizations: Uva Community Health Medical Group, LLC (Culpeper, VA) and University Of Virginia Physicians Group (Charlottesville, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Otto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Otto accept?

Health plans from Oscar Health list Michelle Otto 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.

Is Michelle Otto affiliated with any hospitals?

According to CMS data, Michelle Otto is affiliated with Novant Health Uva Health System Culpeper Med Cente.

When was this NPI record last updated?

The NPPES record for Michelle Otto was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.