NPIMap

Individual provider Active NPI

Nicolette Cohen

  • Neurology Physician
  • Fort Belvoir, VA
National Provider Identifier
1124480660
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
1688 Issued in NE
Practice address
9300 Dewitt Loop
Fort Belvoir, VA 22060-5285
Phone
(571) 231-2756
Fax
(571) 231-6663
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 1688 NE Primary

Addresses

Primary practice location

9300 Dewitt Loop
Fort Belvoir, VA 22060-5285

Mailing address

9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, WY, NY, NH4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240523000884 NE Practitioner - Neurology 1456625136 Reassigns benefits to 1 organization
I20241111001897 WY Practitioner - Neurology 1456625136 Reassigns benefits to 2 organizations
I20250206001741 NY Practitioner - Neurology 1456625136
I20260521003202 NH Practitioner - Neurology 1456625136 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Touro Un Col of Osteopathic Medicine, New York, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Androscoggin Valley Hospital IncGroup PAC ID 2365350725, shared by 3 NPIs, 61 clinicians
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

1180 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-8125

59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2200

6901 N 72ND St
Suite 2400
Omaha, NE 68122-1709
Phone (402) 717-0070

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Sweetwater County CurrentSince Nov 11, 2024 Accepting new patients
Arnot Ogden Medical Center CurrentSince Dec 30, 2024 Accepting new patients
Arnot Ogden Medical Center Single Specialty CurrentSince Dec 30, 2024 Accepting new patients
Memorial Hospital of Sweetwater County Single Specialty CurrentSince Nov 11, 2024 Accepting new patients
Alegent Creighton Clinic Single Specialty CurrentSince May 1, 2024 Accepting new patients
Memorial Hospital of Carbon County Single Specialty Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

3308 Samson Way
Bellevue, NE 68123
Phone (402) 291-3373

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

6901 N 72nd St
Ste 2400
Omaha, NE 68122
Phone (402) 658-1391

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Ivy St
Ste 206
Elmira, NY 14905
Phone (607) 271-2050

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Organizations & group practices 8

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

Hospital & facility affiliations 6

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1124480660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 FITZSIMMONS DR",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984311000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-231-2756",
            "fax_number": "571-231-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "NICOLETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NE",
            "license": "1688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Belvoir, VA

Sources for this page

Verify at the official NPI Registry.