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MRS. AMBER LYNN OTT APRN
NPI 1760218150
Nurse Practitioner - Family in Jacksonville, FL

Active since September 11, 2024PECOS Enrolled
731 DUVAL STATION RD STE 107-346, JACKSONVILLE, FL 32218(904) 383-1000(904) 751-6583 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Amber Lynn Ott Aprn NPPES

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

MRS. AMBER LYNN OTT APRN (NPI 1760218150) is an individual family provider in Jacksonville, Florida, licensed in Florida (11034581) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1760218150
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMBER LYNN OTTCredential: APRN
Location Address731 DUVAL STATION RD STE 107-346Jacksonville, FL 32218-0800
Mailing Address731 Duval Station Rd Ste 107-346Jacksonville, FL 32218-0800 · (719) 271-8767 · Fax (904) 751-6583
Phone(904) 383-1000
Fax(904) 751-6583
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
✔ NPI 1760218150 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 · 11034581
731 DUVAL STATION RD STE 107-346, Jacksonville, FL 32218
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amber Lynn Ott Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173011400
PECOS Enrollment IDI20251020001690
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 Reassignment

Medicare enrollment records show Amber Ott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Black Bag Medical Inc
15 mi
Family Medicine
4320 DEERWOOD LAKE PKWY, SUITE 101, PMB 321
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 16 clinicians in this Medicare group
NPI 1750440988 (904) 371-4051

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 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.

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 Amber Ott's NPI number?

The NPI number for Amber Ott is 1760218150. It was assigned to this individual provider in the NPPES registry on September 11, 2024.

Where is Amber Ott located?

Amber Ott practices at 731 Duval Station Rd Ste 107-346, Jacksonville, FL 32218. The listed phone number is (904) 383-1000.

What is Amber Ott's specialty?

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

Is Amber Ott enrolled in Medicare?

Yes. Amber Ott is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amber Ott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Ott reassigns Medicare benefits to Black Bag Medical Inc (Jacksonville, FL). The 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 Amber Ott'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 Amber Ott was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.