Nicole Otero, PA
NPI 1104204320ActiveIndividual· Physician Assistant· Gilbert, AZ
Physician Assistant (PA) with Banner Physician Specialists Arizona LLC, practicing in Gilbert, Arizona. 202 Medicare patients in 2024, $35,345 paid; all of their 469 Part D prescriptions were generic. Stryker Corporation reported $162.52 in payments in 2025, mostly food and beverage. Lists Banner Baywood Medical Center as a hospital affiliation.
Overview
| NPI | 1104204320 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | May 7, 2015 |
| Last updated in NPPES | Sep 14, 2021 |
| Certified by provider | Sep 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 202 |
|---|---|
| Services billed | 1,044 across 36 procedure codes |
| Paid by Medicare | $35,345 |
Part D prescriptions in 2024
| Prescriptions (claims) | 469 · 469 30-day fills |
|---|---|
| Patients | 196 |
| Total drug cost | $3,780 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Banner Physician Specialists Arizona LLCChandler, AZ · 373 clinicians
Hospital affiliation
- Banner Baywood Medical CenterMesa, AZ
Other facilities
- Banner Home Care-ArizonaHome health agency · Mesa, AZ
Industry payments (Open Payments)
- 2025$162.52 · 7 payments from 1 company
- 2024$537.71 · 5 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Stryker Corporation | $162.52 | 7 |
What the 2025 payments were for
- Food and Beverage$162.52 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 242 physician assistants in Gilbert · All physician assistants in Arizona