Individual provider Active NPI

Colleen Planchon, RNP

  • Acute Care Nurse Practitioner
  • Providence, RI
National Provider Identifier
1497183446
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN00354 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903
Phone
(401) 444-3985
Fax
(401) 444-3986
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 8843 CT
Acute Care Nurse Practitioner 363LA2100X APRN00354 RI Primary

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903

Mailing address

100 Perkins Farm Dr
Ste 301
Mystic, CT 06355-4041
Phone (401) 444-6779

Other practice location 1

25 Wells St
Westerly, RI 02891-2922
Phone (401) 596-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131230000200 RI Practitioner - Nurse Practitioner 6507093234 Reassigns benefits to 3 organizations
I20200416002805 CT Practitioner - Nurse Practitioner 6507093234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

100 Perkins Farm Dr
Suite 301
Mystic, CT 06355-4041
Phone (860) 572-5400

25 Wells St
Westerly, RI 02891-2922
Phone (401) 348-3325

45 Wells St
Suite 102
Westerly, RI 02891-2927
Phone (401) 596-4499

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8843CTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Single Specialty CurrentSince Jun 22, 2020 Accepting new patients
Hospital Medicine Associates LLC Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Lifespan Physician Group, Inc. Single Specialty CurrentSince Oct 1, 2018 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 22, 2020 Accepting new patients

Locations

100 Perkins Farm Dr
Ste 301
Mystic, CT 06355
Phone (860) 572-5400

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

8 Vista Dr
Old Lyme, CT 06371
Phone (646) 942-7318

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

593 Eddy St
Providence, RI 02903

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

35 Wells St
Lowr
Westerly, RI 02891
Phone (401) 348-3865

45 Wells St
Ste 102
Westerly, RI 02891
Phone (401) 596-4499

Interoperability endpoints

  • Direct secure messaging: cplanchon218937@xdr.hhchealthdirect.org
  • Direct secure messaging: cplanchon329781@direct.ynhh.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1497183446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PERKINS FARM DR",
            "address_2": "STE 301",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063554041",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-444-3985",
            "fax_number": "401-444-3986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Wells St",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028912922",
            "country_code": "US",
            "telephone_number": "401-596-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLANCHON",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "RNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "8843",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "RI",
            "license": "APRN00354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.