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

Mrs. Alice Camille Otto, NP

Individual provider Registered Nurse · NPI 1841594025

Mrs. Alice Camille Otto, NP is a Nurse Practitioner in Lebanon, Indiana. Qualified in 2008, 18 years ago. Practices with Ies Hsp Indiana LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
18
Licensed in
IN
In the registry since
2011
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2605 N Lebanon St
Lebanon, IN 46052-1476
Phone: (765) 485-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 71003805A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28196305A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71003805A (IN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 71003805A (IN)

Record details

NPI number1841594025
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 3, 2011
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ies Hsp Indiana Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lebanon