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Active NPI 1649603044 Individual Practitioner Female Practitioner

Kirby Elizabeth Otto , APNP

Nurse Practitioner • Shawano, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kirby Otto, APNP is a certified Nurse Practitioner practicing in Shawano, WI. With approximately 13 years of clinical experience since completing medical education in 2013, Kirby Otto delivers high-quality medical care to the local community at 100 COUNTY ROAD B.

Kirby Otto is affiliated with Bellin Memorial Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, dialysis services, 2-3 physician visits per month (20 years or older), routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 County Road B

Shawano, WI 541667072

Telephone 9207318900
Fax 9202251414
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Shawano, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +3.0 yrs vs City Avg
City Avg: 10.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Shawano, WI (4030 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Otto (13 Years) 13 Yrs
Shawano Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
23 20 $267.93 $89.06
90961 Dialysis services, 2-3 physician visits per month (20 years or older)
12 11 $640.33 $197.98

Medical Specialties & State Licenses

CMS Verified: 2020-02-17
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 5477-33

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WI 156249-30

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Bellin Memorial Hospital Inc

2020 Riverside Dr, Green Bay, WI 543012300

Phone: 9204457226

Secondary Practice Locations

744 S Webster Ave

Green Bay, WI 543013505

Phone: 9204457226

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003584145

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified), Master of Science in Nursing, Bachelor of Science in Nursing

Dessia Laxton , APNP

Nurse Practitioner

NPI 1013454164

Advanced Practice Nurse Prescriber

Dong Bo Yu

Internal Medicine - Cardiovascular Disease

NPI 1043624026
Anna King , PA

Physician Assistant

NPI 1043862998

Physician Assistant

Joshua White , PA

Physician Assistant - Medical

NPI 1063478055

Physician Assistant

Bethany Rothe , PA-C

Physician Assistant - Surgical

NPI 1164862322

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address February 17, 2020

Registered at PO BOX 22487, GREEN BAY, WI 543052487 (Tel: 9204457226)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2020

Nurse Practitioner (License #5477-33 in WI)

📍
Updated Practice Location February 06, 2020

Registered at 100 COUNTY ROAD B, SHAWANO, WI 541667072 (Tel: 9207318900)

📍
Updated Business Mailing Address February 06, 2020

Registered at 122 E COLLEGE AVE, APPLETON, WI 549115741 (Tel: 9209963264)

NPI Profile Active March 12, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2014

Registered at 744 S WEBSTER AVE, GREEN BAY, WI 543013505 (Tel: 9204457226)

📍
Updated Business Mailing Address March 12, 2014

Registered at 744 S WEBSTER AVE, GREEN BAY, WI 543013505 (Tel: 9204457226)

👤
Provider Name / Credentials Updated March 12, 2014

Recorded as KIRBY OTTO, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2014

Registered Nurse (License #156249-30 in WI)

🟢
Initial NPI Registration & Enumeration August 21, 2013

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: 1649603044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2013
Last Update: February 17, 2020
Sole Proprietor: No

Mailing Address

Po Box 22487

Green Bay, WI 543052487

Phone: 9204457226

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.