Colleen C Stellabotte, RN, MSN, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN273433L, SP003540C Issued in PA

Practice address

501 S 54TH St
Academic ER SVCS - ER Dept
Philadelphia, PA 19143-1900

Phone

(215) 748-9435

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Colleen Stellabotte Other name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cstellabotte2012942@direct.trinity-health.org
• FHIR API: https://api.platform.athenahealth.com/16196/brand/1/csg/1/fhir/r4

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.

• Cep America LLC

  • Emergency Medicine Physician
  • West Grove, PA
  • NPI 1902690852
  Medicare reassignment NPD
• Radnor Family Practice Professional Limited Liability Company

  • Family Medicine Physician
  • Wayne, PA
  • NPI 1750407144
  Medicare reassignment NPD
• Trinity Health Mid-Atlantic Medical Group

  • Surgery Physician
  • Langhorne, PA
  • NPI 1972982361
  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1902783251
  NPD
• Radnor Family Practice, PLLC, Dba Im Health

  • Urgent Care Clinic/Center
  • Wayne, PA
  • NPI 1730848417
  NPD
• Trinity Health Mid-Atlantic Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1639039175
  NPD
• Trinity Health Mid-Atlantic Medical Group

  • Family Medicine Physician
  • Langhorne, PA
  • NPI 1932515533
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Trinity Health Mid-Atlantic Medical Group

  • Emergency Medicine Physician
  • Darby, PA
  • NPI 1588694111

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1366468498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 OAK PARK DR",
            "address_2": "STE3000",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301414",
            "telephone_number": "781-280-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 54TH ST",
            "address_2": "ACADEMIC ER SVCS - ER DEPT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431900",
            "telephone_number": "215-748-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLABOTTE",
        "first_name": "COLLEEN",
        "middle_name": "C",
        "credential": "RN, MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN273433L, SP003540C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "STELLABOTTE",
            "credential": "RN, MSN, CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stella Yurovsky
• Valerie Lynn Stella-Bahner, CRNP
• Matthew Stella
• Perri Stella, CRNP
• Taylor Stella
• Stellar Care Services LLC
• Stellas Helping Hands Services LLC
• Michael James Stelmach, MD
• John William Stelzer, MD
• Claudia Jean Stemler

• Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.

Verify at the official NPI Registry.