NPPES file of Aug 9, 2026

Renae Machelle Otto, PA

Physician Assistant · Coon Rapids, MN

Renae Machelle Otto, PA is a physician assistant with a practice address in Coon Rapids, Minnesota, and NPI 1295696144, issued on Nov 20, 2025. Check the license (Minnesota 15482, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295696144
Name
Renae Machelle Otto
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License number
15482 MN
Self-reported in NPPES; status is on the state search
Practice location
4040 Coon Rapids Blvd NW Ste 120, Coon Rapids, MN 55433
Phone
(763) 427-9980
Enumerated
Nov 20, 2025
Record last updated
Dec 14, 2025
Medicare enrollment
Enrolled (PECOS I20251219001761); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 4040 Coon Rapids Blvd NW Ste 120

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Syed Abidi, M.DCardiovascular Disease Physician1487960357
  2. Kathryn Alvarez, PA-CPhysician Assistant1013499367
  3. Mackenzie Andropolis, PA-C, MPHPhysician Assistant1265152367
  4. Moustapha Atoui, M.DClinical Cardiac Electrophysiology Physician1538326327
  5. Alex Baher, M.D.Cardiovascular Disease Physician1871814335
  6. Jordan Brewster, M.D.Clinical Cardiac Electrophysiology Physician1023282423

Verify Renae Machelle Otto in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
    Search for license 15482
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Allina Health SystemCoon Rapids, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Renae Machelle Otto among 4,007 physician assistant records in Minnesota

Renae Machelle Otto, PA is one of 4,007 physician assistant records with a practice address in Minnesota. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 95% of them.

  • NPI issued2025 · 95% of these records are older, 1% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 78% of these records are
  • Graduated2025 · median 2017 among the 3,131 with a school on file
  • Record last updated2025 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

83 physician assistant records list a practice address in Coon Rapids

They are 83 of the 1,802 NPPES records with a practice address in Coon Rapids, and 4,007 physician assistant records in Minnesota.

The 8 physician assistant records with the nearest ZIP codes

  1. Amy Berglin, PA-CCoon Rapids, MN 554331821057910
  2. Kimberly Cunningham, PA-CCoon Rapids, MN 554331558349431
  3. Donna Degracia, P.A.Coon Rapids, MN 554331629017066
  4. Ronald Diorio, PA-CMinneapolis, MN 554331174560049
  5. Michelle Douvier, PA-CCoon Rapids, MN 554331831392554
  6. Paul Finstad, PA-CMinneapolis, MN 554331568405488
  7. Christopher Gordon, PA-CCoon Rapids, MN 554331598727174
  8. Elizabeth Hoffman, PA-CMinneapolis, MN 554331366485724

Common questions

What is Renae Machelle Otto, PA's NPI number?

Renae Machelle Otto, PA's National Provider Identifier (NPI) is 1295696144, issued on Nov 20, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Renae Machelle Otto, PA located?

The NPPES record lists a practice address at 4040 Coon Rapids Blvd NW Ste 120, Coon Rapids, MN, 55433. Phone: (763) 427-9980. Providers update this record themselves, so call before visiting.

How can I verify Renae Machelle Otto, PA's license?

NPPES lists Minnesota license number 15482, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.