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JILL VAN OTTERLOO PA
NPI 1679980783
Physician Assistant in Forest City, IA

Active since July 21, 2014PECOS Enrolled
635 E US HIGHWAY 9, FOREST CITY, IA 50436(641) 585-2904(641) 585-5417 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill Van Otterloo Pa NPPES

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

JILL VAN OTTERLOO PA (NPI 1679980783) is an individual physician assistant in Forest City, Iowa, licensed in Iowa (074615) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679980783
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJILL VAN OTTERLOOCredential: PA
Location Address635 E US HIGHWAY 9Forest City, IA 50436-1028
Mailing Address621 S Illinois Ave, Suite 103Mason City, IA 50401-5489 · (641) 428-3041 · Fax (641) 428-3059
Phone(641) 585-2904
Fax(641) 585-5417
Sole ProprietorNo
Enumeration DateJuly 21, 2014
✔ NPI 1679980783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 074615
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.
635 E US HIGHWAY 9, Forest City, IA 50436
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Van Otterloo Pa 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 50436 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 8

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

MRS. AMY LEIGH EIDEN
Student in an Organized Health Care Education/Training Program
635 E US HIGHWAY 9
FOREST CITY, IA 50436
Winnebago County (641) 585-3931
MOLLY EICHENBERGER ARNP
Nurse Practitioner (Family)
635 E US HIGHWAY 9
FOREST CITY, IA 50436
Winnebago County (641) 585-2904
J&J PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
635 E US HIGHWAY 9
FOREST CITY, IA 50436
Winnebago County (641) 585-3931
JAMES E MCGUIRE PA
Physician Assistant
635 E US HIGHWAY 9
FOREST CITY, IA 50436
Winnebago County (641) 585-2904
REBEKAH G. HENNIGAR ARNP
Nurse Practitioner (Family)
635 E US HIGHWAY 9
FOREST CITY, IA 50436
Winnebago County (641) 585-2904
TAYLOR PAIGE JULIUS ARNP
Nurse Practitioner (Family)
635 E US HIGHWAY 9
FOREST CITY, IA 50436
Winnebago County (641) 585-2904
DR. MATTHEW W FARNDALE PHARMD.
Pharmacist
635 E US HIGHWAY 9
FOREST CITY, IA 50436
Winnebago County (641) 585-3931
NORTH IOWA MERCY CLINICS
Family Medicine
635 E US HIGHWAY 9
FOREST CITY, IA 50436
Winnebago County (641) 585-2904

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 Jill Van Otterloo's NPI number?

The NPI number for Jill Van Otterloo is 1679980783. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Jill Van Otterloo located?

Jill Van Otterloo practices at 635 E Us Highway 9, Forest City, IA 50436. The listed phone number is (641) 585-2904.

What is Jill Van Otterloo's specialty?

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

Is Jill Van Otterloo enrolled in Medicare?

Yes. Jill Van Otterloo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Van Otterloo was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.