SUSAN J OTTEMILLER (ARNP, DNP) – Adult Health Nurse Practitioner, NPI 1710964200
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for SUSAN J OTTEMILLER (ARNP, DNP)
1900 Woodland Dr
Coos Bay, OR 974200000
Phone: (541) 267-5151
Fax: (541) 266-4501
Type: Location
PO BOX 50095
SEATTLE, WA 981455095
Phone: (206) 520-5400
Type: Mailing
Seattle Cancer Care Alliance Pharmacy, 825, Eastlake Avenue East, South Lake Union, Capitol Hill, Seattle, King County, Washington, 98109-5210, United States
SEATTLE, WA 98109
Phone: (206) 520-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($25).
Total Amount
$48
General + Research + Ownership
Payments
2
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pharmacyclics LLC, an AbbVie Company | $25 |
| AstraZeneca Pharmaceuticals LP | $23 |
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: 2019-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040407000556 | I | Certified Clinical Nurse Specialist (Cns) | OR | TBD |
| I20190226001332 | I | Nurse Practitioner | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 241 | 114 | $0 |
Insurance plans in this area (ZIP 97420)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y | WA | |
| Infectious Disease | OR | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.