Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Breyanna L Otlewski, PA-C

Individual provider Physician Assistant · NPI 1396339263

Breyanna L Otlewski, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2020, 6 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
6
Licensed in
IN, MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone: (317) 962-8776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1650 Haslett Rd, Haslett, MI 48840-7615 — (517) 339-3200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003924A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 5601010349 (MI)

Record details

NPI number1396339263
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 22, 2021
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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