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

Patricia C. Otis, APN-CNP

Individual provider Registered Nurse · NPI 1639353998

Patricia C. Otis, APN-CNP is a Nurse Practitioner in Evanston, Illinois. Qualified in 2001, 25 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
25
Licensed in
IL
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

2650 Ridge Ave Walgreens 3507
Evanston, IL 60201
Phone: (847) 570-2640
Fax: (847) 570-1954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209006831 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041223163 (IL)

Record details

NPI number1639353998
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-CNP
Sole proprietorNo
NPI enumeratedDecember 21, 2007
Last updated in NPPESJune 21, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Evanston