Individual provider Active NPI

Rachael L Cottrill, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1609488592
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0027544 Issued in OH
Practice address
901 Washington St
Portsmouth, OH 45662-3944
Phone
(740) 354-7702
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 351708 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0027544 OH Primary

Addresses

Primary practice location

901 Washington St
Portsmouth, OH 45662-3944

Mailing address

901 Washington St
Portsmouth, OH 45662-3944
Phone (740) 354-7702

Other names 1

  • Rachel Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210201001695 OH Practitioner - Nurse Practitioner 1557775624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawnee Mental Health Center IncGroup PAC ID 7012902075, 25 clinicians

Practice addresses (Care Compare)

901 Washington St
Portsmouth, OH 45662-3944
Phone (740) 354-7702

Hospital & facility affiliations

  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
351708OHMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mental Health Center, Inc. CurrentSince Apr 2, 2024 Accepting new patients
Comprehensive Psychological Services, LTD. CurrentSince Nov 1, 2020 Accepting new patients
Shawnee Mental Health Center, Inc. CurrentSince Apr 2, 2024 Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients

Locations

225 Carlton Davidson Ln
Coal Grove, OH 45638
Phone (740) 354-7702

170 Pinecrest Dr
Gallipolis, OH 45631
Phone (740) 441-8313

901 Washington St
Portsmouth, OH 45662
Phone (740) 354-7702

192 Chestnut Ridge Rd
West Union, OH 45693
Phone (937) 544-5581

141 Spruce Ln
West Union, OH 45693
Phone (937) 544-5531

Interoperability endpoints

  • Direct secure messaging: rachael.cottrill.p1@direct.shawneemhc.nextgenshare.com

Organizations & group practices 6

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 1

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1609488592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623944",
            "telephone_number": "740-354-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623944",
            "telephone_number": "740-354-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRILL",
        "first_name": "RACHAEL",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2024-05-02",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "351708",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0027544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.