BOMINA OTTO APRN
NPI 1922833615
Nurse Practitioner - Acute Care in Urbana, IL

Active since September 03, 2024PECOS EnrolledAccepts Medicare Assignment
611 W PARK ST, URBANA, IL 61801(217) 383-3311 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2024, Sep 3, 2024 (2 updates tracked since 2024).

About Bomina Otto Aprn NPPES

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

BOMINA OTTO APRN (NPI 1922833615) is an individual acute care provider in Urbana, Illinois, licensed in Illinois (209030394) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1922833615
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameBOMINA OTTOCredential: APRN
Location Address611 W PARK STUrbana, IL 61801-2501
Mailing Address611 W Park, FapcUrbana, IL 61802 · (217) 902-6954 · Fax (217) 902-7711
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 3, 2024
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
NPI 1922833615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in IL · 209030394
611 W PARK ST, Urbana, IL 61801

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

Bomina Otto Aprn 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 ID1759813926
PECOS Enrollment IDI20241011003672
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Urology
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
URBANA, IL 61801
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
URBANA, IL 61801

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 Bomina Otto's NPI number?

The NPI number for Bomina Otto is 1922833615. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Bomina Otto located?

Bomina Otto practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 383-3311.

What is Bomina Otto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Bomina Otto enrolled in Medicare?

Yes. Bomina Otto 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.

Is Bomina Otto affiliated with any hospitals?

According to CMS data, Bomina Otto is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Bomina Otto was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.