Individual provider Active NPI

Michael Craig Colotta, FNP-C

  • Family Nurse Practitioner
  • Henderson, TX
National Provider Identifier
1477824340
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
689704 Issued in TX
Practice address
105 N High St
Henderson, TX 75652-3133
Phone
(903) 392-8259
Fax
(903) 657-1674
NPI assigned
Jan 24, 2012
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 689704 TX Primary

Addresses

Primary practice location

105 N High St
Henderson, TX 75652-3133

Mailing address

879 County Road 135
Garrison, TX 75946-6757
Phone (936) 556-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140417000346 TX Practitioner - Nurse Practitioner 7517199961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henderson Family Medicine, PLLCGroup PAC ID 7113059155, 5 clinicians

Practice addresses (Care Compare)

105 N High St
Henderson Family Medicine
Henderson, TX 75652-3133
Phone (903) 392-8259

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
689704TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Family Medicine, PLLC CurrentSince Jan 30, 2014 Accepting new patients

Locations

105 N High St
Henderson, TX 75652
Phone (903) 392-8259

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: michaelcolotta@hfmp-tx.direct.office.nextgen.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1477824340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 COUNTY ROAD 135",
            "city": "GARRISON",
            "state": "TX",
            "postal_code": "759466757",
            "telephone_number": "936-556-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N HIGH ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756523133",
            "telephone_number": "903-392-8259",
            "fax_number": "903-657-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOTTA",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-24",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "689704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

Verify at the official NPI Registry.