MRS. GLADYS MAGDALENA OTTENWALDER NP
NPI 1740077890
Nurse Practitioner - Family in New Port Richey, FL

Q: What is Gladys Ottenwalder's NPI number?

The NPI number for Gladys Ottenwalder is 1740077890. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Q: What is Gladys Ottenwalder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 22, 2025PECOS EnrolledAccepts Medicare Assignment

8501 LITTLE RD, NEW PORT RICHEY, FL 34654(727) 869-7755(727) 869-7372 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, May 8, 2025 (2 updates tracked since 2025).

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About Mrs. Gladys Magdalena Ottenwalder Np NPPES

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

MRS. GLADYS MAGDALENA OTTENWALDER NP (NPI 1740077890) is an individual family provider in New Port Richey, Florida, licensed in Florida (F03250639) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital Brooksville, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1740077890

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. GLADYS MAGDALENA OTTENWALDERCredential: NP

Location Address8501 LITTLE RDNew Port Richey, FL 34654-4924

Mailing Address8501 Little RdNew Port Richey, FL 34654-4924 · (727) 869-7755 · Fax (727) 869-7372

Phone(727) 869-7755

Fax(727) 869-7372

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 22, 2025

Last NPPES UpdateApril 28, 20262 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1740077890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · F03250639

8501 LITTLE RD, New Port Richey, FL 34654

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).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

Mrs. Gladys Magdalena Ottenwalder Np 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 ID3577756584

PECOS Enrollment IDI20250804003706

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

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

Sunstate Healthcare LLC

20 mi

Infectious Disease

12120 CORTEZ BLVD
Brooksville, FL 34613

Reassigned Medicare billing, Florida enrollment
10 clinicians in this Medicare group

NPI 1558718999 (352) 559-8849

Optumcare Florida LLC

21 mi

General Practice

5130 SUNFOREST DR STE 300
Tampa, FL 33634

Reassigned Medicare billing, Florida enrollment
315 clinicians in this Medicare group

NPI 1053384214 (727) 824-0780

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

Hospital Affiliations CMS Care Compare 2

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

Tampa General Hospital Brooksville

Acute Care Hospitals · Brooksville, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100071

Location17240 Cortez BlvdBrooksville, FL 34601 · Hernando County

Emergency services Birthing friendly

Hca Florida Oak Hill Hospital

Acute Care Hospitals · Brooksville, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100264

Location11375 Cortez BlvdBrooksville, FL 34613 · Hernando County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34654 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 9

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

JUAN A. AMADOR TAVAREZ M.D.

Family Medicine