AUTUMN LEE OTTO PA-C
NPI 1558189282
Physician Assistant - Surgical in Bangor, ME
About Autumn Lee Otto Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN LEE OTTO PA-C (NPI 1558189282) is an individual surgical provider in Bangor, Maine and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 3
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
Autumn Lee Otto Pa-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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MEOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Autumn Otto's NPI number?
The NPI number for Autumn Otto is 1558189282. It was assigned to this individual provider in the NPPES registry on October 1, 2024.
Where is Autumn Otto located?
Autumn Otto practices at 489 State St, Bangor, ME 04401. The listed phone number is (207) 973-7000.
What is Autumn Otto's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Autumn Otto enrolled in Medicare?
Yes. Autumn 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.
Is Autumn Otto affiliated with any hospitals?
According to CMS data, Autumn Otto is affiliated with Northern Light Eastern Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Autumn Otto was last updated on October 1, 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.
# Autumn Lee Otto, PA-C · NPI 1558189282
Surgical physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since October 1, 2024.
## Identity
- **NPI:** 1558189282 (Entity type: Individual)
- **Enumerated:** October 1, 2024
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 489 STATE ST, Bangor, ME 04401-6616
- **Phone:** (207) 973-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558189282) · Data from the CMS NPPES public registry.