ELIZABETH OTI – Nurse Practitioner, NPI 1205486347

ELIZABETH OTI is a healthcare provider. based in Clinton, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP020531 (PA). The NPI Number for ELIZABETH OTI is 1205486347

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH OTI
NPI
1205486347
Phone
(740) 877-4060
Address
313 PARK EDGE DR
Enumeration Date
19 September 2019
Last Update Date
27 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3015931315
Graduation Year
2019 (7 years ago)
PAC ID
1850780818
Group Practice PAC ID
6002719226
Professional Enrollment ID
I20220124000046
Address ID
PA176022832LA146XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,469 NURSE PRACTITIONER in PA

Provider Addresses for ELIZABETH OTI

  • 313 PARK EDGE DR

    CLINTON, PA 150261785

    Phone: (740) 877-4060

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-01-24

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
I20220124000046INurse PractitionerPATBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes19063$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes9322$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes5231$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes4646$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2513$0
View full utilization report →

Insurance plans in this area (ZIP 15026)

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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: 6002719226View full group profile
NameSpecialtyState
-MD
Clinical Social WorkerMD
Nurse PractitionerMD
-DC
P S Y C H I A T R YPA
Nurse PractitionerDC
Nurse PractitionerPA
General Practice, PsychiatryNJ
Clinical PsychologistMD
Nurse PractitionerPA

Reviews

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Frequently asked questions

How is ELIZABETH OTI identified in CMS data?
CMS-hosted NPPES data lists ELIZABETH OTI with NPI 1205486347.
Is ELIZABETH OTI listed as active for patients and plans?
The listing shows ELIZABETH OTI as active in the NPI system.
What is ELIZABETH OTI's specialty?
The listing groups ELIZABETH OTI with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect ELIZABETH OTI on a map?
Expect Clinton, Pennsylvania as a primary anchor for ELIZABETH OTI unless the record lists multiple sites.
Why does ELIZABETH OTI have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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