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ADALINE YVETTE OTERO
NPI 1699373811
Nurse Practitioner in Gardner, MA

Active since October 09, 2020PECOS EnrolledAccepts Medicare Assignment
250 GREEN ST STE 104, GARDNER, MA 01440(978) 669-5522(978) 669-5521 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adaline Yvette Otero NPPES

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

ADALINE YVETTE OTERO (NPI 1699373811) is an individual nurse practitioner in Gardner, Massachusetts, licensed in Massachusetts (NP191826) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1699373811
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameADALINE YVETTE OTERO
Location Address250 GREEN ST STE 104Gardner, MA 01440-1377
Mailing Address99 Kendall StGardner, MA 01440-4114 · (401) 486-4285
Phone(978) 669-5522
Fax(978) 669-5521
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 9, 2020
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1699373811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · NP191826
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.
250 GREEN ST STE 104, Gardner, MA 01440
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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

Adaline Yvette Otero 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 ID3577968932
PECOS Enrollment IDI20260625001013
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 Reassignments

5

Medicare enrollment records show Adaline Otero reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Heywood Memorial Hospital
Same address
Hospitalist
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 344 clinicians in this Medicare group
NPI 1205448701 (978) 630-6944
Heywood Medical Group Inc.
Same address
General Practice
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 218 clinicians in this Medicare group
NPI 1699762286 (978) 630-5076
Athol Memorial Hospital Incorporated
11 mi
Critical Access
2033 MAIN STREET
Athol, MA 01331
  • Reassigned Medicare billing, Massachusetts enrollment
  • 324 clinicians in this Medicare group
NPI 1336120047 (978) 249-3511
St. Luke's Hospital Of Duluth
996 mi
Family Medicine
50 OUTER DR
Silver Bay, MN 55614
  • Reassigned Medicare billing, Minnesota enrollment
  • 513 clinicians in this Medicare group
NPI 1417909557 (218) 249-4431
Healthcare Partners Affiliates Medical Group
2,537 mi
Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1891981502 (714) 442-4864

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services64 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01440 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 3

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

MARIA E ABRUZZO M.D.
Internal Medicine (Rheumatology)
250 GREEN ST STE 104
GARDNER, MA 01440
Worcester County (978) 630-5011
AVA GRACE HILL
Physician Assistant
250 GREEN ST STE 104
GARDNER, MA 01440
Worcester County (508) 864-9883
DR. STEPHEN M DIERKS M.D.
Urology
250 GREEN ST STE 104
GARDNER, MA 01440
Worcester County (978) 669-5522

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 Adaline Otero's NPI number?

The NPI number for Adaline Otero is 1699373811. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Adaline Otero located?

Adaline Otero practices at 250 Green St Ste 104, Gardner, MA 01440. The listed phone number is (978) 669-5522.

What is Adaline Otero's specialty?

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

Is Adaline Otero enrolled in Medicare?

Yes. Adaline Otero 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 organizations bill Medicare for Adaline Otero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adaline Otero reassigns Medicare benefits to 5 organizations: Henry Heywood Memorial Hospital (Gardner, MA), Heywood Medical Group Inc. (Gardner, MA), Athol Memorial Hospital Incorporated (Athol, MA), St. Luke's Hospital Of Duluth (Silver Bay, MN) and Healthcare Partners Affiliates Medical Group (Tustin, CA). Each 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 Adaline Otero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adaline Otero accept?

Health plans from Taro Health list Adaline Otero 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.

Is Adaline Otero affiliated with any hospitals?

According to CMS data, Adaline Otero is affiliated with Heywood Hospital and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Adaline Otero was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.