NIKI L OTT PA-C - NPI 1750519310 - Physician Assistant in Truckee, CA

Q: What is Niki Ott's NPI number?

The NPI number for Niki Ott is 1750519310. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Q: What is Niki Ott's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Niki Ott was last updated on March 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Niki L Ott Pa-c NPPES

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

NIKI L OTT PA-C (NPI 1750519310) is an individual medical provider in Truckee, California, licensed in California (PA20612) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1750519310

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNIKI L OTTCredential: PA-C

Location Address10051 LAKE AVE STE 3Truckee, CA 96161-4870

Mailing Address10051 Lake Ave Ste 3Truckee, CA 96161-4870 · (530) 587-7461 · Fax (530) 587-1149

Phone(530) 587-7461

Fax(530) 587-1149

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 22, 2009

Last NPPES UpdateMarch 3, 2015

✔ NPI 1750519310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA20612

10051 LAKE AVE STE 3, Truckee, CA 96161

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Other Identifiers 1

Medicare UPINCN669ZCA

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

Niki L Ott Pa-c 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 ID4284774738

PECOS Enrollment IDI20091215000250

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers14 claims29 services$4.83 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$51.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

JENNA MARIE LEECH PA-C

Orthopaedic Surgery