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NICOLE CHRISTINE OTTO
NPI 1780347674
Counselor - Professional in Glendale, WI

Active since October 18, 2021PECOS Enrolled
6025 N GREEN BAY AVE UPPR LEVEL, GLENDALE, WI 53209(414) 247-0801(414) 247-0816 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2023, Oct 18, 2021 (2 updates tracked since 2021).

About Nicole Christine Otto NPPES

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

NICOLE CHRISTINE OTTO (NPI 1780347674) is an individual professional provider in Glendale, Wisconsin, licensed in Wisconsin (10571) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780347674
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE CHRISTINE OTTO
Location Address6025 N GREEN BAY AVE UPPR LEVELGlendale, WI 53209-3811
Mailing Address6025 N Green Bay Ave Uppr LevelGlendale, WI 53209-3811 · (414) 247-0801 · Fax (414) 247-0816
Phone(414) 247-0801
Fax(414) 247-0816
Sole ProprietorNo
Enumeration DateOctober 18, 2021
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1780347674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 10571
6025 N GREEN BAY AVE UPPR LEVEL, Glendale, WI 53209
Open in Google Maps ↗

Other Identifiers 1

Other10571WI · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Christine Otto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

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

LEAH C MCCANN
Counselor (Professional)
6025 N GREEN BAY AVE UPPR LEVEL
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
EBRAHIM MANSARAY MS
Counselor (Professional)
6025 N GREEN BAY AVE UPPR LEVEL
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
BRENDA JOYCE WARD MSW, APSW, SSW
Social Worker
6025 N GREEN BAY AVE UPPR LEVEL
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
DAIZY ANN LISKOWITZ PC
Counselor (Professional)
6025 N GREEN BAY AVE UPPR LEVEL
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
RACHEL RENEE HAYNES LPC
Counselor (Professional)
6025 N GREEN BAY AVE UPPR LEVEL
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
JOHN VIANNEY MUWEESI LPC
Counselor (Professional)
6025 N GREEN BAY AVE UPPR LEVEL
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
RUTH IRADUKUNDA MSW
Social Worker (Clinical)
6025 N GREEN BAY AVE UPPR LEVEL
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
SEPHORA ABIGAIL WAWA EGBUCHE
Counselor (Professional)
6025 N GREEN BAY AVE UPPR LEVEL
GLENDALE, WI 53209
Milwaukee County (414) 247-0801

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 Nicole Otto's NPI number?

The NPI number for Nicole Otto is 1780347674. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Where is Nicole Otto located?

Nicole Otto practices at 6025 N Green Bay Ave Uppr Level, Glendale, WI 53209. The listed phone number is (414) 247-0801.

What is Nicole Otto's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Otto enrolled in Medicare?

Yes. Nicole Otto is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Otto accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Quartz and UnitedHealthcare list Nicole Otto 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.

When was this NPI record last updated?

The NPPES record for Nicole Otto was last updated on December 12, 2023. 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.