Individual provider Active NPI

Nicole Fraticelli, D.O.

  • Orthopaedic Surgery Physician
  • York, PA
National Provider Identifier
1093174732
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS021041 Issued in PA
Practice address
25 Monument Rd Ste 290
York, PA 17403-5073
Phone
(717) 812-4090
Fax
(717) 812-4092
NPI assigned
Feb 22, 2016
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Orthopaedic Surgery Physician 207X00000X FF0001987 PA
Orthopaedic Surgery Physician 207X00000X OS021041 PA Primary

Addresses

Primary practice location

25 Monument Rd Ste 290
York, PA 17403-5073

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-4090

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929003247 MI Practitioner - Orthopedic Surgery 1052713724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 E Michigan Ave
Suite a
Lansing, MI 48912-1810
Phone (517) 364-5300

1120 E Michigan Ave a
Lansing, MI 48912-1810

1215 E Michigan Ave
Lansing, MI 48912-1811

2900 Hannah Blvd
Suite B102
East Lansing, MI 48823-5374
Phone (517) 364-8070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS021041PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Aug 1, 2021 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 30, 2021 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Edward W. Sparrow Hospital Association Orthopaedic Surgery CurrentSince Sep 30, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Aug 1, 2021 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2900 Hannah Blvd
Ste 212
East Lansing, MI 48823
Phone (517) 319-1831

2900 Hannah Blvd
Ste B102
East Lansing, MI 48823
Phone (517) 364-8050

114 N Main St
Ithaca, MI 48847
Phone (989) 875-4166

1120 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-9777

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

3394 E Jolly Rd
Ste A
Lansing, MI 48910
Phone (517) 253-5100

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

25 Monument Rd
Ste 290
York, PA 17403
Phone (717) 741-8220

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: nfraticelli187075@wellspan.direct-ci.com
  • Direct secure messaging: nfraticelli51744@sparrowdirecthie.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1093174732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-812-4090",
            "fax_number": "717-812-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MONUMENT RD STE 290",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035073",
            "telephone_number": "717-812-4090",
            "fax_number": "717-812-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATICELLI",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "FF0001987",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS021041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.