Individual provider · Type 1 NPI

Renae Machelle Otto, PA

Physician Assistant · Coon Rapids, MN

NPI number 1295696144 Active

Practice location

4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568

Call (763) 427-9980 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X15482 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295696144

Renae Machelle Otto, PA's National Provider Identifier is 1295696144, issued on Nov 20, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Dec 14, 2025.