Active NPI
Jessica Cole, FNP-C
- Family Nurse Practitioner
- Walkersville, MD
National Provider Identifier
1225516461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AC003953
- Practice address
- 15 E Frederick St
Walkersville, MD 21793-8234 - Phone
- (240) 215-6310
- NPI assigned
- Jul 31, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F07182029 | MD | |
| Family Nurse Practitioner | 363LF0000X | AC003953 | MD | Primary |
Addresses
Primary practice location
15 E Frederick St
Walkersville, MD 21793-8234
Mailing address
15 E Frederick St
Walkersville, MD 21793-8234
Phone (240) 215-6310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F07182029 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Coastal Integrative Healthcare Inc | Current | Accepting new patients | |
| Coastal Integrative Healthcare Inc | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
315 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 427-8403
145 Cypress Point Pkwy
Ste 207
Palm Coast, FL 32164
Phone (386) 225-4700
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
Interoperability endpoints
- jessica.cole.1@33201.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Frederick, MD
- NPI 1619258225
-
- Nurse Practitioner
- Edgewater, FL
- NPI 1093126203
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Frederick, MD
- NPI 1104194778
-
- Family Medicine Physician
- Mount Airy, MD
- NPI 1114771862
-
- Durable Medical Equipment & Medical Supplies
- Palm Coast, FL
- NPI 1477161073
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1225516461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E FREDERICK ST",
"city": "WALKERSVILLE",
"state": "MD",
"postal_code": "217938234",
"telephone_number": "240-215-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 E FREDERICK ST",
"city": "WALKERSVILLE",
"state": "MD",
"postal_code": "217938234",
"telephone_number": "240-215-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "JESSICA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "F07182029",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC003953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walkersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.