Active NPI
Susan Elizabeth Cottrell, CRNP
- Nurse Practitioner
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R227055
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 74.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Surgical Care PC | Current | 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.
-
dba Capitol Vein & Laser Centers
- Vascular Surgery Physician
- Frederick, MD
- NPI 1336245075
PA
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Ambulatory Surgical Clinic/Center
- Bethesda, MD
- NPI 1417118407
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
- Lawrence Costello, M.D.
- Trinka Susan Coster, M.D.
- Eva Marie Costlow, LCSW-C
- Meghan M Cote, BCBA
- Mindi Nicole Cottrell, NP
- Lucas Couch, D.O.
- Country Meadows of Frederick
- County Commissioners Acccounting Office (Independent H Ose)
- County Commissioners Accounting Office (Brunswick Ambulance Co)
- County Commissioners Accounting Office (Thurmont Com Ambulance Service)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.