OTIS D WRIGHT (NP) – Gerontology Nurse Practitioner, NPI 1104909688

OTIS D WRIGHT (NP) is a healthcare provider. based in Austin, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NP 16852 (CA). The NPI Number for OTIS D WRIGHT (NP) is 1104909688

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
OTIS D WRIGHT (NP)
NPI
1104909688
Phone
(512) 795-4344
Address
7005 MIRA LOMA LN
Enumeration Date
20 October 2006
Last Update Date
31 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2109210184
Graduation Year
2006 (20 years ago)
PAC ID
9133127038
Group Practice PAC ID
7214455914
Professional Enrollment ID
I20160714002334
Address ID
TX782241267SA50XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for OTIS D WRIGHT (NP)

  • 7005, Mira Loma Lane, Coronado Hills, Austin, Travis County, Texas, 78723, United States

    SUITE 102

    AUSTIN, TX 787231411

    Phone: (512) 795-4344

    Fax: (512) 928-9466

    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 10 Open Payments records for all available years, with a total value of $505.

Total Amount is formed as General ($505) + Research ($0) + Ownership ($0) = $505.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($255).

Total Amount

$505

General + Research + Ownership

Payments

10

Total payment records

General Amount

$505

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

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: 2016-07-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090330000138INurse PractitionerCATBD
I20160714002334INurse PractitionerTXTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes7748$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2722$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 78723)

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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: 7214455914View full group profile
NameSpecialtyState
Nurse PractitionerLA
Nurse PractitionerTX
Certified Clinical Nurse Specialist (Cns)TX
Nurse PractitionerCA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for OTIS D WRIGHT (NP)?
OTIS D WRIGHT (NP) — NPI 1104909688 — is the standard way to identify this listing.
Can I rely on OTIS D WRIGHT (NP) being an active provider?
As of the registry snapshot, OTIS D WRIGHT (NP) is marked active.
What is OTIS D WRIGHT (NP) best known for clinically?
Directory data describes OTIS D WRIGHT (NP) with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is OTIS D WRIGHT (NP) based?
OTIS D WRIGHT (NP) is tied to Austin, Texas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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