CMS-1500 Box 24J / 33a • NPI
1790519619
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
176B00000X
Licensed & Credentialed Midwife
Box 32 Service Location & ZIP+4
1417 S CLIFF AVE, SIOUX FALLS, SD, 57105-1022
✓ 9-Digit EDI 837 ZIP+4 (57105-1022)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1790519619 (AMBER LYNN OTKIN, CNM, WHNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1790519619 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AMBER LYNN OTKIN, CNM, WHNP |
| Plain-English Specialty | Licensed & Credentialed Midwife NUCC Code: 176B00000X (Midwife) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1417 S CLIFF AVE, SIOUX FALLS, SD, 57105-1022 |
| Practice Telephone / Fax | Tel: (605) 322-8945 |
| Administrative Mailing Address | 1907 COUNTRY CLUB DR, ELK POINT, SD, 57025-2179 |
| Enumeration & Last Sync | Enumerated: 2024-09-02 | CMS Record Updated: 2024-09-02 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (176B00000X)
What Does Taxonomy Code 176B00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 176B00000X translates to:
"Licensed & Credentialed Midwife"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AMBER LYNN OTKIN, CNM, WHNP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LW0102X — Nurse Practitioner, Women's HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health | State: SD | License: CP003339 | Primary: Secondary |
176B00000X — MidwifePlain English: Licensed & Credentialed Midwife | State: SD | License: CM000112 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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