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

Individual provider Physician Assistant · NPI 1568913622

Jeffrey Otto, PA-C is a Physician Assistant in Plymouth, Minnesota. Graduated from Duke University School of Medicine in 2016, 10 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Trained at
Duke University School of Medicine
Licensed in
MN
In the registry since
2016
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

2800 Campus Dr Ste 30
Plymouth, MN 55441-2669
Phone: (763) 398-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2617 (MN)

Record details

NPI number1568913622
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 24, 2016
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-4567

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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