Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA NICOLE OTTER FNP
NPI 1902478233
Nurse Practitioner - Family in Greenville, IL

Active since July 15, 2021PECOS Enrolled
101 HEALTH CARE DR, GREENVILLE, IL 62246(618) 664-1380(618) 664-4239 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Sep 9, 2025, Jul 15, 2021 (3 updates tracked since 2021).

About Jessica Nicole Otter Fnp NPPES

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

JESSICA NICOLE OTTER FNP (NPI 1902478233) is an individual family provider in Greenville, Illinois, licensed in Illinois (209.022936) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains a secondary practice location in Hillsboro.

NPPES Registry Identity

NPI1902478233
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA NICOLE OTTERCredential: FNP
Location Address101 HEALTH CARE DRGreenville, IL 62246-1159
Mailing Address101 Health Care DrGreenville, IL 62246-1159 · (618) 664-1380 · Fax (618) 664-4239
Fax(618) 664-4239
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 15, 2021
Last NPPES UpdateOctober 26, 20263 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1902478233 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 IL · 209.022936
101 HEALTH CARE DR, Greenville, IL 62246

Secondary Practice Location 1

Location 11200 E Tremont StHillsboro, IL 62049-1912 · Phone (217) 532-6111

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

Jessica Nicole Otter Fnp 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 ID8022085232
PECOS Enrollment IDI20240417003857
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

3

Medicare enrollment records show Jessica Otter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
200 HEALTH CARE DR
Greenville, IL 62246
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
Rural Health
1220 E TREMONT ST FRNT A
Hillsboro, IL 62049
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1003896499 (Illinois)
  • 59 clinicians in this Medicare group
Critical Access
1215 FRANCISCAN DR
Litchfield, IL 62056
  • Reassigned Medicare billing, Illinois enrollment
  • 60 clinicians in this Medicare group

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.

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Hillsboro Area Hospital

Critical Access Hospitals · Hillsboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141332
Location1200 E Tremont StreetHillsboro, IL 62049 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62246 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 4

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

Clinic/Center (Rural Health)
101 HEALTH CARE DR
GREENVILLE, IL 62246
Nurse Practitioner (Family)
101 HEALTH CARE DR
GREENVILLE, IL 62246
Registered Nurse (Continuing Education/Staff Development)
101 HEALTH CARE DR
GREENVILLE, IL 62246
Nurse Practitioner (Family)
101 HEALTH CARE DR
GREENVILLE, IL 62246

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 Jessica Otter's NPI number?

The NPI number for Jessica Otter is 1902478233. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Jessica Otter located?

Jessica Otter practices at 101 Health Care Dr, Greenville, IL 62246. The listed phone number is (618) 664-1380.

What is Jessica Otter's specialty?

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

Is Jessica Otter enrolled in Medicare?

Yes. Jessica Otter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jessica Otter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Otter reassigns Medicare benefits to 3 organizations: Cep America-Illinois Hospitalists, LLP (Greenville, IL), Hillsboro Area Hospital, Inc. (Hillsboro, IL) and St Francis Hospital Of The Hospital Sisters Of The Third Order Of St F (Litchfield, IL). Each 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 Jessica Otter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jessica Otter affiliated with any hospitals?

According to CMS data, Jessica Otter is affiliated with St Johns Hospital and Hillsboro Area Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Otter was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.