Nicholas Colatrella, O.D. FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

2617 Issued in MN

Practice address

2180 Troop Dr
Sartell, MN 56377-7504

Phone

(320) 258-3915

Fax

(320) 258-3917

NPI assigned

Jan 23, 2007

Last updated

Jun 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinecone Vision Center, PAGroup PAC ID 6800786906, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

64.31 of 100Reported as group

Quality

35

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://pineconevisioncenter.ef.prod.fhir.ema-api.com/fhir/r4/
• Direct secure messaging: nccenter@pineconevisioncenter.emadirect.md

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.

• Pinecone Vision Center, PA

  • Optometrist
  • Sartell, MN
  • NPI 1790830701
  Medicare reassignment Care Compare group Authorized official
• Pinecone Vision Therapy Center

  • Vision Therapy Optometrist
  • Sartell, MN
  • NPI 1700113180
  Authorized official Same address or phone
• Pinecone Vision Center

  • Optometrist
  • Sartell, MN
  • NPI 1467836650
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1467507475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563777504",
            "telephone_number": "320-258-3915",
            "fax_number": "320-258-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563777504",
            "telephone_number": "320-258-3915",
            "fax_number": "320-258-3917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3274 Nottingham Rd S",
            "address_purpose": "LOCATION",
            "city": "St. Cloud",
            "state": "MN",
            "postal_code": "56301",
            "country_code": "US",
            "telephone_number": "320-258-3915",
            "fax_number": "320-258-3917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLATRELLA",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "O.D. FAAO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5300096700",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NCCENTER@pineconevisioncenter.emadirect.md",
            "affiliation": "N",
            "address_1": "2180 Troop Dr",
            "city": "Sartell",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563777504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paige Cielinski
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• Adrienne Marie Coleman, RN
• Summer H Coleman, LICSW
• Karla Jean Cool
• Adam Charles Corcoran

• Optometrist in Sartell, MN
• Providers in Sartell, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.