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

Renae Machelle Otto, PA

Individual provider Physician Assistant · NPI 1295696144

Renae Machelle Otto, PA is a Physician Assistant in Coon Rapids, Minnesota. Qualified in 2025, 1 year ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568
Phone: (763) 427-9980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15482 (MN)

Record details

NPI number1295696144
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 20, 2025
Last updated in NPPESDecember 14, 2025
Certification dateDecember 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Mercy Hospital Hospital · Coon Rapids, MN

Colleagues at Allina Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3867 clinicians in the practice; 12 are shown here.

Other providers in Coon Rapids