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

Q: 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.

Q: What is Kirby Otto's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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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.

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