Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Ann Ots, PENDING

Individual provider Nurse Practitioner · NPI 1003456823

Jacqueline Ann Ots, PENDING is a Nurse Practitioner in Oshkosh, Wisconsin. Qualified in 2020, 6 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
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Practice location Address checks out

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone: (920) 303-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2605 Development Dr, Green Bay, WI 54311-4240 — (920) 288-8240

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10085 (WI)

Record details

NPI number1003456823
Entity typeIndividual (Type 1)
GenderFemale
Credentials PENDING
Sole proprietorNo
NPI enumeratedJanuary 9, 2020
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oshkosh