JULIE ANN OTTO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124083860

JULIE ANN OTTO (CRNA) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R 139859-1 (MN). The NPI Number for JULIE ANN OTTO (CRNA) is 1124083860

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JULIE ANN OTTO (CRNA)
NPI
1124083860
Phone
Not provided
Address
2545 CHICAGO AVE
Enumeration Date
18 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128711145
Graduation Year
2005 (21 years ago)
PAC ID
4587680558
Group Practice PAC ID
8123016557
Professional Enrollment ID
I20051019000299
Address ID
MN554132197MI3001XNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for JULIE ANN OTTO (CRNA)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    SUITE 311

    MINNEAPOLIS, MN 554044522

    Phone:

    Type: Mailing

  • Abbott Northwestern Hospital, 800, East 28th Street, Midtown Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55407, United States

    MINNEAPOLIS, MN 554073723

    Phone: (612) 871-7639

    Fax: (612) 872-0302

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051019000299ICertified Registered Nurse Anesthetist (Crna)MNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope109109$0
00812Anesthesia for exam of colon using an endoscope2929$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2727$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 55404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123016557View full group profile
NameSpecialtyState
-MN
-MN
G A S T R O E N T E R O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
G A S T R O E N T E R O L O G YIL
G A S T R O E N T E R O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
G A S T R O E N T E R O L O G YMN
Pediatric Medicine, GastroenterologyMN
Gastroenterology, Internal MedicineMN

Reviews

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Frequently asked questions

What is the standard ID for JULIE ANN OTTO (CRNA) in the U.S.?
In the U.S., JULIE ANN OTTO (CRNA) is identified by NPI 1124083860.
Should I treat JULIE ANN OTTO (CRNA) as an active provider?
Patients and plans typically see JULIE ANN OTTO (CRNA) as active in the national extract.
How should patients interpret JULIE ANN OTTO (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for JULIE ANN OTTO (CRNA). Clinical services aligned with this taxonomy classification.
Is JULIE ANN OTTO (CRNA) tied to Minneapolis, Minnesota?
If you are local to Minneapolis, Minnesota, JULIE ANN OTTO (CRNA) may be relevant to your search.
Who maintains JULIE ANN OTTO (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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