Individual provider Active NPI

Jessica L Cotton, FNP

  • Family Nurse Practitioner
  • Battle Creek, MI
National Provider Identifier
1003299272
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704244423 Issued in MI
Practice address
5161 B Dr S
Suite a
Battle Creek, MI 49015-9345
Phone
(269) 969-6099
Fax
(269) 969-6089
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704244423 MI Primary
Registered Nurse 163W00000X 4704244423 MI

Addresses

Primary practice location

5161 B Dr S
Suite a
Battle Creek, MI 49015-9345

Mailing address

5161 B Dr S
Suite a
Battle Creek, MI 49015-9345
Phone (269) 969-6099

Other names 1

  • Jessica L Cotton Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807014625 MI Practitioner - Nurse Practitioner 4082928700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704244423MIMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1003299272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 B DR S",
            "address_2": "SUITE A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159345",
            "telephone_number": "269-969-6099",
            "fax_number": "269-969-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 B DR S",
            "address_2": "SUITE A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159345",
            "telephone_number": "269-969-6099",
            "fax_number": "269-969-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTON",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704244423",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704244423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "COTTON",
            "middle_name": "L",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.