JENNY OTTOSON PA-C
NPI 1588117352
Physician Assistant in Fort Myers, FL

Q: What is Jenny Ottoson's NPI number?

The NPI number for Jenny Ottoson is 1588117352. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Q: What is Jenny Ottoson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jenny Ottoson was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 28, 2016PECOS Enrolled

12600 CREEKSIDE LN STE 2, FORT MYERS, FL 33919(239) 343-9235(239) 343-4008 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Apr 8, 2022, Jan 12, 2022 and 1 more (4 updates tracked since 2016).

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About Jenny Ottoson Pa-c NPPES

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

JENNY OTTOSON PA-C (NPI 1588117352) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9115206) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1588117352

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENNY OTTOSONCredential: PA-C

Location Address12600 CREEKSIDE LN STE 2Fort Myers, FL 33919-3353

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9235 · Fax (239) 343-4008

Phone(239) 343-9235

Fax(239) 343-4008

Sole ProprietorNo

Enumeration DateJuly 28, 2016

Last NPPES UpdateSeptember 6, 20234 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2023

✔ NPI 1588117352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in FL · PA9115206✔ Licensed in MN · 12244

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 12244 (MN)

12600 CREEKSIDE LN STE 2, Fort Myers, FL 33919

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Secondary Practice Location 1

Location 112651 Whitehall DrFort Myers, FL 33907-3626 · Phone (239) 424-2030 · Fax (239) 343-4117

Other Identifiers 1

Medicaid112821000FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Ottoson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33919 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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 17

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

PHU LE M.D.

Psychiatry & Neurology (Neurology)