Individual provider Active NPI

Augusta Rose Cottrell, NP

  • Family Nurse Practitioner
  • Oak Bluffs, MA
National Provider Identifier
1043080633
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2309150 Issued in MA
Practice address
1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone
(508) 693-0410
NPI assigned
Jan 4, 2024
Last updated
Feb 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2309150 MA Primary

Addresses

Primary practice location

1 Hospital Rd
Oak Bluffs, MA 02557-1406

Mailing address

PO Box 2698
Oak Bluffs, MA 02557-2698
Phone (508) 463-8226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240308002621 MA Practitioner - Nurse Practitioner 6103262415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Imperatives IncGroup PAC ID 9931328481, 8 clinicians

Practice addresses (Care Compare)

111 Torrey St
Brockton, MA 02301-4800
Phone (508) 559-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martha's Vineyard Hospital, Inc. CurrentSince Feb 8, 2024 Accepting new patients
Health Imperatives Inc. CurrentSince Jul 1, 2024 Accepting new patients
Martha's Vineyard Hospital, Inc. Current Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince Feb 8, 2024 Accepting new patients
Health Imperatives Inc. Current Accepting new patients
Health Imperatives Inc. CurrentSince Jul 1, 2024 Accepting new patients
Health Imperatives Inc. Past Accepting new patients

Locations

111 Torrey St
Brockton, MA 02301
Phone (508) 584-5190

942 W Chestnut St
Brockton, MA 02301
Phone (508) 583-3005

942 W Chestnut St
#46
Brockton, MA 02301
Phone (508) 583-3005

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1043080633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2698",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025572698",
            "telephone_number": "508-463-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571406",
            "telephone_number": "508-693-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "AUGUSTA",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2309150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Bluffs, MA

Sources for this page

Verify at the official NPI Registry.