Individual provider Active NPI

Kathleen Francette Flugel Colle, PMH-CNS, BC, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Rochester, MN
National Provider Identifier
1679871586
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
2010010963 Issued in MN
Practice address
3253 19TH St NW
Rochester, MN 55901-6798
Phone
(507) 280-0690
NPI assigned
Mar 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 2010010963 MN Primary

Addresses

Primary practice location

3253 19TH St NW
Rochester, MN 55901-6798

Mailing address

3253 19TH St NW
Rochester, MN 55901-6798
Phone (507) 280-0690

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110525000672 MN Practitioner - Certified Clinical Nurse Specialist (CNS) 3173709235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1812 2ND St SW
Suite F
Rochester, MN 55902-4127
Phone (507) 322-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
2010010963MNMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Healing Center LLC CurrentSince Sep 22, 2016 Accepting new patients

Locations

1812 2nd St SW
Ste F
Rochester, MN 55902
Phone (507) 322-0222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1679871586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 19TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016798",
            "telephone_number": "507-280-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 19TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016798",
            "telephone_number": "507-280-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUGEL COLLE",
        "first_name": "KATHLEEN",
        "middle_name": "FRANCETTE",
        "credential": "PMH-CNS, BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MN",
            "license": "2010010963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.