1. Home
  2. Directory
  3. Wisconsin
  4. Shawano
  5. Nurse Practitioner
  6. NPI Profile

KIRBY ELIZABETH OTTO APNP
NPI 1649603044
Nurse Practitioner in Shawano, WI

Active since August 21, 2013PECOS EnrolledAccepts Medicare Assignment
100 COUNTY ROAD B, SHAWANO, WI 54166(920) 731-8900(920) 225-1414 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2020, Feb 6, 2020, Jan 3, 2019 (3 updates tracked since 2019).

About Kirby Elizabeth Otto Apnp NPPES

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

KIRBY ELIZABETH OTTO APNP (NPI 1649603044) is an individual nurse practitioner in Shawano, Wisconsin, licensed in Wisconsin (5477-33) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Green Bay, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1649603044
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIRBY ELIZABETH OTTOCredential: APNP
Location Address100 COUNTY ROAD BShawano, WI 54166-7072
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7238
Phone(920) 731-8900
Fax(920) 225-1414
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 21, 2013
Last NPPES UpdateFebruary 17, 20203 updates tracked since enumeration
✔ NPI 1649603044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 5477-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 156249-30 (WI)
100 COUNTY ROAD B, Shawano, WI 54166
Open in Google Maps ↗

Other Names 1

Former Name (1)Kirby Elizabeth Knapmiller Apnp

Secondary Practice Location 1

Location 1744 S Webster AveGreen Bay, WI 54301-3505 · Phone (920) 445-7226 · Fax (920) 445-7289

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Kirby Elizabeth Otto Apnp 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 ID2264668458
PECOS Enrollment IDI20131118000746
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 Reassignment

Medicare enrollment records show Kirby Otto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bellin Memorial Hospital Inc
22 mi
Family Medicine
723 S WISCONSIN ST
Pulaski, WI 54162
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1609838390 (920) 822-1100

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 54166 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

SHOPKO STORES OPERATING CO., LLC
Pharmacy (Community/Retail Pharmacy)
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (920) 429-4726
MR. DAVID A KLOSS M.D.
Surgery
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
DR. MINDY MARIA FRIMODIG DO
Family Medicine
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
CAROLYN ANNE FLOOD OTR/L
Occupational Therapist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-7370
WILL GILLIS PHARMD
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-3456
RACHEL NAULT PHARMD
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
ALEXIS VANDEHEY
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (920) 203-0630
JENNA J MULDER
Physician Assistant
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-2111

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 Kirby Otto's NPI number?

The NPI number for Kirby Otto is 1649603044. It was assigned to this individual provider in the NPPES registry on August 21, 2013. The provider is also known as Kirby Elizabeth Knapmiller Apnp.

Where is Kirby Otto located?

Kirby Otto practices at 100 County Road B, Shawano, WI 54166. The listed phone number is (920) 731-8900.

What is Kirby Otto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kirby Otto enrolled in Medicare?

Yes. Kirby 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 organization bills Medicare for Kirby Otto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirby Otto reassigns Medicare benefits to Bellin Memorial Hospital Inc (Pulaski, WI). The 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 Kirby Otto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kirby Otto accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Kirby 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.

When was this NPI record last updated?

The NPPES record for Kirby Otto was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.