Active NPI
Nichole L Cosgrove, APRN-NP
- Nurse Practitioner
- Columbus, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 72588
- Practice address
- 3005 19TH St Ste 100
Columbus, NE 68601-4252 - Phone
- (402) 316-3250
- Fax
- (402) 316-3264
- NPI assigned
- Aug 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 72588 | NE | Primary |
Addresses
Primary practice location
3005 19TH St Ste 100
Columbus, NE 68601-4252
Mailing address
110 N 37TH St Ste 103
Norfolk, NE 68701-3283
Phone (402) 316-3250
Other practice location 1
110 N 37th St Ste 103
Norfolk, NE 68701-3283
Phone (402) 316-3250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
10928 Eagle River Rd
Eagle River, AK 99577-8078
Phone (907) 694-8085
1700 E Bogard Rd
Wasilla, AK 99654-6570
Phone (907) 921-5088
3190 E Meridian Park Loop
Suite 207
Wasilla, AK 99654-7422
Phone (907) 373-9460
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 55.96
- Improvement activities
- 40
- Cost
- 79.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72588 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group of Alaska | Current | Accepting new patients | |
| Medical Group of Alaska | Current | Accepting new patients | |
| Linn Family Chiropractic, P.C. | Past | Accepting new patients | |
| Medical Group of Alaska | Past | Accepting new patients |
Locations
4361 Boniface Pkwy
Ste 3
Anchorage, AK 99504
Phone (907) 333-2133
3190 E Meridian Park Loop
Ste 207
Wasilla, AK 99654
Phone (907) 357-7710
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DACAAA
Organizations & group practices 4
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.
-
- General Practice Physician
- Wasilla, AK
- NPI 1750730594
-
- Physical Therapy Clinic/Center
- Wasilla, AK
- NPI 1891208351
-
- Chiropractor
- Columbus, NE
- NPI 1043656689
-
- Pain Medicine Physician
- Wasilla, AK
- NPI 1174882971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1316426307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N 37TH ST STE 103",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013283",
"telephone_number": "402-316-3250",
"fax_number": "402-316-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 19TH ST STE 100",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686014252",
"telephone_number": "402-316-3250",
"fax_number": "402-316-3264"
}
],
"practiceLocations": [
{
"address_1": "110 N 37th St Ste 103",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "NE",
"postal_code": "687013283",
"country_code": "US",
"telephone_number": "402-316-3250",
"fax_number": "402-316-3264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSGROVE",
"first_name": "NICHOLE",
"middle_name": "L",
"credential": "APRN-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "72588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.