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

Kirby Elizabeth Otto, APNP

Individual provider Nurse Practitioner · NPI 1649603044

Kirby Elizabeth Otto, APNP is a Nurse Practitioner in Shawano, Wisconsin. Qualified in 2013, 13 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (920) 731-8900
Fax: (920) 225-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 744 S Webster Ave, Green Bay, WI 54301-3505 — (920) 445-7226

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5477-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 156249-30 (WI)

Record details

NPI number1649603044
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 21, 2013
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shawano