Individual provider Active NPI

Susan Elizabeth Cottrell, CRNP

  • Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1205346079
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R227055 Issued in MD
Practice address
77 Thomas Johnson Dr
Suite E
Frederick, MD 21702
Phone
(301) 695-8346
Fax
(301) 624-5837
NPI assigned
Oct 6, 2017
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R227055 MD Primary

Addresses

Primary practice location

77 Thomas Johnson Dr
Suite E
Frederick, MD 21702

Mailing address

77 Thomas Johnson Dr
Suite E
Frederick, MD 21702
Phone (301) 695-8346

Other practice location 1

1165 Imperial Dr Ste 200
Hagerstown, MD 21740-6583
Phone (855) 695-8346

Other practice location 2

1982 Scotland Ave Ste A
Chambersburg, PA 17201-1450
Phone (855) 695-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171117000139 MD Practitioner - Nurse Practitioner 9335405752 Reassigns benefits to 1 organization
I20180830000797 PA Practitioner - Nurse Practitioner 9335405752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Surgical Care PCGroup PAC ID 2163404740, 7 clinicians

Practice addresses (Care Compare)

1982 Scotland Ave
Suite a
Chambersburg, PA 17201-1450
Phone (866) 695-8346

77 Thomas Johnson Dr
Frederick, MD 21702-4893
Phone (301) 695-8346

Merit-based Incentive Payment System (MIPS)

Final score
92.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Surgical Care PC CurrentSince Sep 19, 2017 Accepting new patients
MSC Ambulatory Surgical Center, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

77 Thomas Johnson Dr
Ste E
Frederick, MD 21702
Phone (301) 695-8346

1165 Imperial Dr
Ste 200
Hagerstown, MD 21740
Phone (301) 665-9098

1165 Imperial Dr
Ste 202
Hagerstown, MD 21740
Phone (301) 684-0004

1982 Scotland Ave
#A
Chambersburg, PA 17201
Phone (855) 695-8346

Organizations & group practices 3

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": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1205346079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR",
            "address_2": "SUITE E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-695-8346",
            "fax_number": "301-624-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR",
            "address_2": "SUITE E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-695-8346",
            "fax_number": "301-624-5837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 Imperial Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217406583",
            "country_code": "US",
            "telephone_number": "855-695-8346",
            "fax_number": "301-624-5837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1982 Scotland Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011450",
            "country_code": "US",
            "telephone_number": "855-695-8346",
            "fax_number": "301-624-5837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R227055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.