BETHANY GRACE AVILA OTTE (FNP-C) – Primary Care Nurse Practitioner, NPI 1194265744
Primary Care Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for BETHANY GRACE AVILA OTTE (FNP-C)
152 CONANT ST STE 200
BEVERLY, MA 019151659
Phone: (978) 922-2226
Type: Location
330, Oxford Street, Castle Park, Chula Vista, San Diego County, California, 91911, United States
SUITE 110
CHULA VISTA, CA 919113117
Phone:
Type: Mailing
330 OXFORD ST
SUITE 110
CHULA VISTA, CA 919113117
Phone: (619) 427-7181
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $478.
Total Amount is formed as General ($478) + Research ($0) + Ownership ($0) = $478.
Last reported payment date: 2024-06-21 • Largest payer in this snapshot: ABBVIE INC. ($382).
Total Amount
$478
General + Research + Ownership
Payments
25
Total payment records
General Amount
$478
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $382 |
| Celgene Corporation | $53 |
| E.R. Squibb & Sons, L.L.C. | $43 |
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: 2022-12-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221205000309 | I | Nurse Practitioner | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01915)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MA | |
| - | MA | |
| N E U R O L O G Y | MA | |
| - | MA | |
| N E U R O L O G Y | MA | |
| N E U R O L O G Y | MA | |
| N E U R O L O G Y | MA | |
| Physician Assistant | MA |
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