MICHAEL P OTOOLE APRN
NPI 1235656968
Nurse Practitioner - Psychiatric/Mental Health in Bridgeport, CT
NPI Status: Active since August 24, 2017
Contact Information
475 CLINTON AVE
BRIDGEPORT, CT
ZIP 06605
Phone: (203) 368-4291
Fax: (203) 368-9167
- Individual
- Male
- Nurse Practitioner
- Psychiatric/Mental Health
- Accepts Insurance
- PECOS Enrolled
About MICHAEL OTOOLE
This page provides the complete NPI Profile along with additional information for Michael Otoole, a provider established in Bridgeport, Connecticut with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1235656968 assigned on August 2017. The practitioner's primary taxonomy code is 363LP0808X with license number 007178 (CT). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1235656968
- Provider Name
- MICHAEL P OTOOLE APRN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 475 CLINTON AVE BRIDGEPORT, CT 06605
- Location Phone
- (203) 368-4291
- Location Fax
- (203) 368-9167
- Mailing Address
- 475 CLINTON AVE BRIDGEPORT, CT 06605
- Mailing Phone
- (203) 368-4291
- Mailing Fax
- (203) 368-9167
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-24-2017
- Last Update Date
- 12-20-2022
- Code Navigator
A nurse practitioner (NP) like Michael Otoole is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 007178
- License State
- CT
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 007178 (CT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 004069985 | MEDICAID (05) | CT |
Medicare Participation & PECOS Enrollment Status
Michael Otoole is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06605 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $93.86
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $23.46
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $106.68
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $26.67
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MICHAEL P OTOOLE APRN
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 6 | 5 | 6 | 9 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 12 | 5 | 12 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 2 + 5 + 1 + 2 + 9 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1235656968 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225159171 | LYDIA H. GREINER APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1730391939 | MS. DOROTHY A TIMMERMANN LMFT Individual | Marriage & Family Therapist | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-5602 |
| 1609083948 | MRS. KAREN ANN CERRATO LCSW Individual | Social Worker (Clinical) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-5589 |
| 1639387111 | DR. WILLIAM JOSEPH HASS PH.D. Individual | Psychologist (Clinical) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1457561979 | MS. ANNE GOLENSKY OTRL Individual | Counselor (Mental Health) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-5548 |
| 1891084463 | ALAINA ANDERSEN LPC Individual | Counselor (Professional) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-5538 |
| 1114284601 | BARBARA KELLY LPC Individual | Counselor (Professional) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-5515 |
| 1033474572 | MARCELA HAENDLER LPC Individual | Counselor (Professional) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1932543808 | JOAN C JOYCE LPC Individual | Counselor (Professional) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1164854766 | BARBARA CUNARD LPC Individual | Counselor (Professional) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1285061374 | CARISSA M MOTT LPC Individual | Counselor (Professional) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1700208048 | KATHLEEN ROSENFELD LMFT Individual | Marriage & Family Therapist | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1992117535 | ARIANE BROWN LPC Individual | Counselor (Professional) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1669875191 | SHERYL PAUL Individual | Social Worker (Clinical) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1568867653 | HOPE TAYLOR LPC Individual | Counselor (Professional) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1447641121 | CYNTHIA VAIL LPC Individual | Counselor (Professional) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1265803472 | KELLI MCDERMOTT LCSW Individual | Social Worker (Clinical) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1679938690 | RIMMA GOFMAN LMFT Individual | Marriage & Family Therapist | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1205297330 | DUANE ISABELLA LPC Individual | Counselor (Professional) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
| 1154870848 | EDICSON OROZCO LPC Individual | Counselor (Professional) | 475 CLINTON AVE BRIDGEPORT, CT 06605 (203) 368-4291 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235656968, enumerated in the NPI registry as an "individual" on August 24, 2017
The provider is located at 475 Clinton Ave Bridgeport, Ct 06605 and the phone number is (203) 368-4291
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $93.86 with an average copayment of $23.46 for new patient appointments. Established patients should expect a typical charge of $106.68 and an average copayment of 26.67. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 24, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.