Individual provider Active NPI

Cole Pellegrino, FNP-C

  • Family Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1316768898
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032629 Issued in CA
Practice address
142 Encinitas Blvd
Encinitas, CA 92024-3657
Phone
(760) 230-1880
NPI assigned
Oct 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 95032629 CA Primary

Addresses

Primary practice location

142 Encinitas Blvd
Encinitas, CA 92024-3657

Mailing address

6732 Antilope St
Carlsbad, CA 92009-5805
Phone (609) 471-3951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250616000985 CA Practitioner - Nurse Practitioner 0840701041 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
Telehealth
Offers telehealth services
Group practices
Hardison Medical CorporationGroup PAC ID 1456604339, 13 clinicians
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians
Healthtopia PLLCGroup PAC ID 7517306202, 2 clinicians

Practice addresses (Care Compare)

142 Encinitas Blvd
Encinitas, CA 92024-3657
Phone (760) 230-1888

3900 5TH Ave
Suite 110
San Diego, CA 92103-3122
Phone (858) 554-1212

801 Travis St
Suite 2101
Houston, TX 77002-5730
Phone (888) 209-7225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95032629CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hardison Medical Corporation CurrentSince May 1, 2025 Accepting new patients

Locations

142 Encinitas Blvd
Encinitas, CA 92024
Phone (760) 230-1888

4110 Sorrento Valley Blvd
San Diego, CA 92121
Phone (858) 246-9698

3940 4th Ave
Ste 130140
San Diego, CA 92103
Phone (760) 230-1888

Interoperability endpoints

  • Direct secure messaging: cole.pellegrino.1@20083.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1316768898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6732 ANTILOPE ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920095805",
            "telephone_number": "609-471-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ENCINITAS BLVD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243657",
            "telephone_number": "760-230-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "COLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.