Michelle Remy Phillips-Cottrell, APN
Individual provider Active NPI Family Nurse Practitioner · Wildwood, NJ
NPI 1376979724 · NPPES record last updated Jan 29, 2014
Key facts
- NPI
- 1376979724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ00457700 (NJ)
- Practice address
- 3700 New Jersey Ave
Wildwood, NJ 08260-6154 - Phone
- (609) 465-0258
- Fax
- (609) 522-3484
- NPI assigned
- Sep 17, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Care, Inc.
Practice addresses (Care Compare)
335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755
3700 New Jersey Ave
Wildwood, NJ 08260-6154
Phone (856) 451-4700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140326002158 | NJ | Practitioner - Nurse Practitioner | 2062643570 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00457700 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Current |
Accepting new patients | |
| Community Health Care, Inc. | Current |
Accepting new patients | |
| Shore Atlantic Geriatrics LLC | Current |
Accepting new patients | |
| Cooper University Hospital Cape Regional Inc | Past | Accepting new patients | |
| The Cooper Health System | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients |
Locations
30 N Pearl St
Bridgeton, NJ 08302
3 Broadway
Cape May Court House, NJ 08210
Phone (608) 788-4779
2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000
335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720
1027 State Route 34
Matawan, NJ 07747
Phone (732) 583-9999
530 High St N
Millville, NJ 08332
Phone (856) 506-8556
785 W Sherman Ave
Vineland, NJ 08360
3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258
Interoperability endpoints
- michelle.phillipscottrell.p1@direct.cchn.nextgenshare.com
- https://api.platform.athenahealth.com/11851/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00457700 | NJ | Yes |
Addresses
Primary practice location
3700 New Jersey Ave
Wildwood, NJ 08260-6154
Mailing address
53 S Laurel St
Bridgeton, NJ 08302-1946
Phone (856) 451-4700
Other providers in Wildwood, NJ
- Douglas Opiyo
- Lataysha Orozco
- Hardikkumar Patel
- Amanda Christine Perez
- Mark W Petrelli
- Richard G. Olarsch, DO PC
- Rite Aid
- Rite Aid of New Jersey Inc
- Keith Jacob Rossell
- Sharon Jean Savarese
All providers in Wildwood, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.