LYDIAH OTACHI NURSE PRACTITIONER
NPI 1689428070
Nurse Practitioner - Primary Care in Saint Paul, MN
About Lydiah Otachi Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIAH OTACHI NURSE PRACTITIONER (NPI 1689428070) is an individual primary care provider in Saint Paul, Minnesota, licensed in Minnesota (11498) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Lydiah Otachi Nurse Practitioner 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PAUL, MN 55117
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 Lydiah Otachi's NPI number?
The NPI number for Lydiah Otachi is 1689428070. It was assigned to this individual provider in the NPPES registry on April 12, 2024.
Where is Lydiah Otachi located?
Lydiah Otachi practices at PO Box 17370, Saint Paul, MN 55117. The listed phone number is (612) 471-3791.
What is Lydiah Otachi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Lydiah Otachi enrolled in Medicare?
Yes. Lydiah Otachi 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.
What insurance does Lydiah Otachi accept?
Health plans from Medica list Lydiah Otachi 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 Lydiah Otachi was last updated on May 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lydiah Otachi, NURSE PRACTITIONER · NPI 1689428070
Primary Care physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since April 12, 2024.
## Identity
- **NPI:** 1689428070 (Entity type: Individual)
- **Enumerated:** April 12, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 11498 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** PO BOX 17370, Saint Paul, MN 55117-0370
- **Phone:** (612) 471-3791
## 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 2021
## Record status
- **NPPES last updated:** May 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689428070) · Data from the CMS NPPES public registry.