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JESSICA LYNN OTTO ARNP
NPI 1497196158
Nurse Practitioner - Family in Moody Afb, GA

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
3280 MITCHELL BLVD, MOODY AFB, GA 31699(229) 257-2778 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2026, Aug 1, 2024, May 9, 2024 and 3 more (6 updates tracked since 2018).

About Jessica Lynn Otto Arnp NPPES

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

JESSICA LYNN OTTO ARNP (NPI 1497196158) is an individual family provider in Moody Afb, Georgia, licensed in Florida (ARNP9247352) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1497196158
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA LYNN OTTOCredential: ARNP
Location Address3280 MITCHELL BLVDMoody Afb, GA 31699-5638
Mailing Address3280 Mitchell BlvdMoody Afb, GA 31699-1500 · (229) 257-2778
Phone(229) 257-2778
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 10, 2013
Last NPPES UpdateJuly 7, 20266 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1497196158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in FL · ARNP9247352✔ Licensed in FL · 9247352
3280 MITCHELL BLVD, Moody Afb, GA 31699
Open in Google Maps ↗

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

Jessica Lynn Otto Arnp 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 ID1850526633
PECOS Enrollment IDI20250827003621
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 Jessica Otto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sgmc Affiliated Services LLC
9.3 mi
Multi-Specialty
2501 N PATTERSON ST
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 61 clinicians in this Medicare group
NPI 1114740362 (229) 433-1000
South Georgia Emergency Medicine Associates PC
47 mi
Emergency Medicine
915 GORDON AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • 147 clinicians in this Medicare group
NPI 1386903649 (229) 228-2000

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 31699 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

JAHEEM R PRIOLEAU
Military Health Care Provider (Independent Duty Medical Technicians)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (292) 257-2778
HEDERA COUNSELING CENTER
Counselor (Mental Health)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
MRS. JENNIFER PACCASSI PA-C
Physician Assistant
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
ADAM JACOB ROBBINS DMD
Dentist (General Practice)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
MS. KRISTINA PAULINE GARDELLA MSW, LICSW
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
CAPRI DELVAUX
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
SCOTT M CHENEY DPT
Physical Therapist
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
MRS. RACHEL SMITH ATC, LAT, M.ED.
Specialist/Technologist (Athletic Trainer)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778

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 Jessica Otto's NPI number?

The NPI number for Jessica Otto is 1497196158. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Jessica Otto located?

Jessica Otto practices at 3280 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (229) 257-2778.

What is Jessica Otto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Otto enrolled in Medicare?

Yes. Jessica 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 Jessica Otto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Otto reassigns Medicare benefits to 2 organizations: Sgmc Affiliated Services LLC (Valdosta, GA) and South Georgia Emergency Medicine Associates PC (Thomasville, GA). 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 Jessica Otto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Otto was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.