IndividualActive
Jill Van Otterloo, PA
NPI 1679980783 · Physician Assistant · Forest City, IA
Provider details
- NPI number
- 1679980783
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 074615 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES 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
635 E US Highway 9
Forest City, IA 50436-1028
Phone: (641) 585-2904
Fax: (641) 585-5417
Approximate (ZIP-level) locationGet directions
Mailing address
621 S Illinois Ave
Mason City, IA 50401-5489
Registry dates
- Enumerated
- 2014-07-21
- Last updated
- 2014-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.