Nicole Coggins, PMHNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN00712 Issued in RI

Practice address

160 Broad St
Providence, RI 02903-4028

Phone

(401) 861-2403

Fax

(401) 521-1145

NPI assigned

Jun 24, 2015

Last updated

Oct 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Nurse Practitioner

Education

University of Massachusetts Medical School, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Community Health CareGroup PAC ID 1355250663, shared by 4 NPIs, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012
• Landmark Medical Center Hospital, Woonsocket, RI, CCN 410011

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• East Bay Community Action Program

  • Community Health Clinic/Center
  • Riverside, RI
  • NPI 1609925122
  Medicare reassignment NPD
• Northwest Community Health Care

  dba WellOne Primary Medical and Dental Care

  • Community Health Clinic/Center
  • N Kingstown, RI
  • NPI 1801951397
  Medicare reassignment NPD
• East Bay Community Action Program

  • Community/Behavioral Health Agency
  • Riverside, RI
  • NPI 1609239920
  NPD
• Northwest Community Health Care

  • Federally Qualified Health Center (FQHC)
  • Scituate, RI
  • NPI 1003362864
  NPD
• Northwest Community Health Care

  dba WellOne Primary Medical and Dental Care

  • Federally Qualified Health Center (FQHC)
  • Pascoag, RI
  • NPI 1245219070
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services Landmark LLC

  dba Landmark Medical Center

  • General Acute Care Hospital
  • Woonsocket, RI
  • NPI 1699752923
  Care Compare affiliation
• Prime Healthcare Services-Landmark LLC

  dba Landmark Medical Center

  • Psychiatric Hospital Unit
  • Woonsocket, RI
  • NPI 1396722666
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1356723548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ALLENS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055010",
            "telephone_number": "401-444-0400",
            "fax_number": "401-444-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034028",
            "telephone_number": "401-861-2403",
            "fax_number": "401-521-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 Hartford Ave",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029197109",
            "country_code": "US",
            "telephone_number": "401-519-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Stanley St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027206009",
            "country_code": "US",
            "telephone_number": "508-675-1054",
            "fax_number": "508-324-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COGGINS",
        "first_name": "NICOLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "CNP2281852",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN02175",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Coe, LICSW
• Kimberly Coelho
• John J Coen, MD
• Jean Marie Coffin
• Caitlin Cogan, DPT
• Jamie Coghlan, PHARMD
• Daniel Thomas Coghlin, MD
• Alexander D Cohen, M.D.
• Andrew J. Cohen, MD
• Brian Harris Cohen, M.D.

• Family Nurse Practitioner in Providence, RI
• Providers in Providence, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.
• 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.

Verify at the official NPI Registry.