SUSAN J OTTEMILLER ARNP, DNP
NPI 1710964200
Nurse Practitioner - Adult Health in Seattle, WA

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
825 EASTLAKE AVE E, SEATTLE, WA 98109(206) 520-5000 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susan J Ottemiller Arnp, Dnp NPPES

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

SUSAN J OTTEMILLER ARNP, DNP (NPI 1710964200) is an individual adult health provider in Seattle, Washington, licensed in Washington (AP60848345) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Coos Bay, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1710964200
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN J OTTEMILLERCredential: ARNP, DNP
Location Address825 EASTLAKE AVE ESeattle, WA 98109
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 27, 2005
Last NPPES UpdateDecember 7, 2018
✔ NPI 1710964200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in WA · AP60848345
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60848345 (WA)
825 EASTLAKE AVE E, Seattle, WA 98109

Secondary Practice Location 1

Location 11900 Woodland DrCoos Bay, OR 97420-0000 · Phone (541) 267-5151 ext. 1234 · Fax (541) 266-4501

Other Identifiers 9

OtherCD8723OR · Rr Medicare Group Number
OtherP00085410OR · Rr Medicare Ptan Number
Other0577260001OR · Dmerc Number
Medicaid1710964200WA
Other930635514OR · Group Tax Id Number
Other1407812365OR · Nbmc Group Npi Number
Other161133OR · Group Nbmc Medicaid
OtherR0000WFBTVOR · Medicare Group Pin Number
Medicaid500618060OR

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

Susan J Ottemiller Arnp, Dnp 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 ID7810980539
PECOS Enrollment IDI20190226001332
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

2

Medicare enrollment records show Susan Ottemiller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group
General Acute Care Hospital
1775 THOMPSON RD
Coos Bay, OR 97420
  • Reassigned Medicare billing, Oregon enrollment
  • 327 clinicians in this Medicare group

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.
202 services133 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98109 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Hematology)
825 EASTLAKE AVE E
SEATTLE, WA 98109
Pathology (Anatomic Pathology & Clinical Pathology)
825 EASTLAKE AVE E
SEATTLE, WA 98109
Nurse Practitioner (Pediatrics)
825 EASTLAKE AVE E
SEATTLE, WA 98109
Internal Medicine (Medical Oncology)
825 EASTLAKE AVE E
SEATTLE, WA 98109
Physician Assistant
825 EASTLAKE AVE E
SEATTLE, WA 98109
Surgery
825 EASTLAKE AVE E
SEATTLE, WA 98109
Physician Assistant
825 EASTLAKE AVE E
SEATTLE, WA 98109
Nurse Practitioner (Women's Health)
825 EASTLAKE AVE E
SEATTLE, WA 98109

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 Susan Ottemiller's NPI number?

The NPI number for Susan Ottemiller is 1710964200. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Susan Ottemiller located?

Susan Ottemiller practices at 825 Eastlake Ave E, Seattle, WA 98109. The listed phone number is (206) 520-5000.

What is Susan Ottemiller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Susan Ottemiller enrolled in Medicare?

Yes. Susan Ottemiller 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 Susan Ottemiller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Ottemiller reassigns Medicare benefits to 2 organizations: The Association Of University Physicians (Seattle, WA) and Bay Area Hospital District (Coos Bay, OR). 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 Susan Ottemiller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Ottemiller was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.