HEATHER ROSE OTTO PMHNP-BC
NPI 1780568295
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since August 05, 2025PECOS Enrolled
1500 NE IRVING ST STE 210, PORTLAND, OR 97232(425) 477-4215 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 16, 2026, Aug 5, 2025 (2 updates tracked since 2025).

About Heather Rose Otto Pmhnp-bc NPPES

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

HEATHER ROSE OTTO PMHNP-BC (NPI 1780568295) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10048385) and active in the NPI registry since August 2025. The provider is enrolled in Medicare PECOS, maintains a secondary practice location in Beaverton, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780568295
Entity TypeIndividual
Primary Taxonomy363LP0808X
Provider Legal NameHEATHER ROSE OTTOCredential: PMHNP-BC
Location Address1500 NE IRVING ST STE 210Portland, OR 97232-2243
Mailing Address5441 S Macadam Ave Ste APortland, OR 97239-3821
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 5, 2025
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1780568295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 10048385
1500 NE IRVING ST STE 210, Portland, OR 97232

Secondary Practice Location 1

Location 11500 NW Bethany Blvd Ste 200Beaverton, OR 97006-5236 · Phone (503) 741-2735 · Fax (503) 308-7222

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Rose Otto Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103308424
PECOS Enrollment IDI20260305002828
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97232 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 20

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

Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Social Worker (Clinical)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232

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 Heather Otto's NPI number?

The NPI number for Heather Otto is 1780568295. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Where is Heather Otto located?

Heather Otto practices at 1500 NE Irving St Ste 210, Portland, OR 97232. The listed phone number is (425) 477-4215.

What is Heather Otto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Heather Otto enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Heather Otto was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.