Jessica Lynn Otto, ARNP
NPI 1497196158ActiveIndividual· Nurse Practitioner, Family· Moody Afb, GA
Nurse Practitioner, Family (ARNP) with Sgmc Affiliated Services LLC, practicing in Moody Afb, Georgia. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1497196158 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | Yes |
| NPI issued | Jul 10, 2013 |
| Last updated in NPPES | Jul 7, 2026 |
| Certified by provider | Jul 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | ARNP9247352 | FL |
| Nurse Practitioner, Family | 363LF0000X | 9247352 | FL |
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 - Nurse Practitioner (GA) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Sgmc Affiliated Services LLCValdosta, GA · 40 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family nurse practitioners in Moody Afb
- 1932870243