Renae Otto, PA
NPI 1295696144 · Physician Assistant · Coon Rapids, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renae Otto, PA is a Physician Assistant provider in Coon Rapids, MN (NPI 1295696144).
Provider details
- NPI number
- 1295696144
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 15482 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-11-20
- Last updated
- 2025-12-14
- Certified
- 2025-12-14
Frequently asked questions
- What is Renae Otto's NPI number?
- Renae Otto's National Provider Identifier (NPI) is 1295696144, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Renae Otto's specialty?
- Renae Otto is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Renae Otto located?
- Renae Otto's practice location on file with NPPES is 4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-4568.
- What is Renae Otto's phone number?
- The practice phone number listed in the NPPES registry for Renae Otto is (763) 427-9980.
- Does Renae Otto accept Medicare?
- Renae Otto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Renae Otto's NPI active?
- Yes — Renae Otto's NPI (1295696144) is active in the NPPES registry as of the last update on 2025-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.