Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679980783 Individual Practitioner Female Practitioner

Jill Van Otterloo , PA

Physician Assistant • Forest City, IA

Professional Overview & Biography Verified Profile Summary

Jill Van Otterloo, PA is a registered healthcare professional specializing in Physician Assistant in Forest City, IA. Practice services are available at 635 E US HIGHWAY 9 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, anticoagulant management of patient taking warfarin, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

635 E Us Highway 9

Forest City, IA 504361028

Telephone 6415852904
Fax 6415855417
Associated Practice Facility / Clinic
🏢 North Iowa Mercy Clinics Facility NPI 1811003015

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Forest City, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Forest City, IA (1543 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
189 128 $148.28 $41.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
132 93 $222.53 $63.56
93793 Anticoagulant management of patient taking warfarin
36 20 $27.08 $9.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
25 25 $261.32 $92.05

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 074615

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Molly Eichenberger , ARNP

Nurse Practitioner - Family

NPI 1154779460

Advanced Registered Nurse Practitioner

James Mcguire , PA

Physician Assistant

NPI 1316053531

Physician Assistant

NPI 1376585380

Doctor of Osteopathic Medicine (D.O.)

Rebekah Hennigar , ARNP

Nurse Practitioner - Family

NPI 1386282598

Advanced Registered Nurse Practitioner

Timothy Ackarman , PA

Physician Assistant

NPI 1447368170

Physician Assistant

Taylor Julius , ARNP

Nurse Practitioner - Family

NPI 1487425211

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2014

Registered at 635 E US HIGHWAY 9, FOREST CITY, IA 504361028 (Tel: 6415852904)

📍
Updated Business Mailing Address July 21, 2014

Registered at 621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 504015489 (Tel: 6414283041)

👤
Provider Name / Credentials Updated July 21, 2014

Recorded as JILL VAN OTTERLOO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2014

Physician Assistant (License #074615 in IA)

🟢
Initial NPI Registration & Enumeration July 21, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679980783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2014
Last Update: July 21, 2014
Sole Proprietor: No

Mailing Address

621 S Illinois Ave, Suite 103

Mason City, IA 504015489

Phone: 6414283041

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.