Individual provider Active NPI

Jessica Ann Cottrell, FNP-BC, CRNP

  • Family Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1174414924
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R216966 Issued in MD
Practice address
520 Upper Chesapeake Dr Ste 208
Bel Air, MD 21014-4392
Phone
(443) 643-3335
Fax
(443) 643-3337
NPI assigned
Jul 10, 2025
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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 R216966 MD Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr Ste 208
Bel Air, MD 21014-4392

Mailing address

520 Upper Chesapeake Dr Ste 208
Suite 208
Bel Air, MD 21014-4392
Phone (443) 643-3335

Other names 1

  • Ms. Jessi Ann Cottrell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20260120001813 MD Practitioner - Nurse Practitioner 3375020514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R216966MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Neurology Associates P.a. CurrentSince Dec 10, 2025 Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 208
Bel Air, MD 21014
Phone (443) 643-3335

Interoperability endpoints

  • Direct secure messaging: jcottrell1096037@direct.umm.edu

Organizations & group practices 2

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 1

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": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1174414924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 208",
            "address_2": "SUITE 208",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144392",
            "telephone_number": "443-643-3335",
            "fax_number": "443-643-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 208",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144392",
            "telephone_number": "443-643-3335",
            "fax_number": "443-643-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R216966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSI",
            "last_name": "COTTRELL",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.