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

Jessica L. Ottenweller-Butcher, MD

Individual provider Family Medicine Physician · NPI 1629089453

Jessica L. Ottenweller-Butcher, MD is a Family Practice in Fort Wayne, Indiana. Graduated from Indiana University School of Medicine in 2006, 20 years ago. Practices with Cameron Memorial Community Hospital Inc, a 85-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
20
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2512 E Dupont Rd Ste 200
Fort Wayne, IN 46825-1609
Phone: (260) 458-3760
Fax: (260) 458-3761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01064357A (IN)

Record details

NPI number1629089453
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Cameron Memorial Community Hospital Inc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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