Individual provider Active NPI

Daniel Cottrell

  • Physician Assistant
  • Mineral Wells, TX
National Provider Identifier
1689073173
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09369 Issued in TX
Practice address
101 Holly Hill Rd Ste B
Mineral Wells, TX 76067-5005
Phone
(940) 325-6831
Fax
(940) 325-6891
NPI assigned
Aug 20, 2014
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09369 TX Primary

Addresses

Primary practice location

101 Holly Hill Rd Ste B
Mineral Wells, TX 76067-5005

Mailing address

PO Box 1207
Mineral Wells, TX 76068-1207
Phone (940) 325-6831

Other practice location 1

101 Holly Hill Rd
Unit B
Mineral Wells, TX 76067-5043
Phone (940) 654-7008

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address danielc@dochisel.direct.care360.com
Direct Messaging Address dcottrell865700@direct.sw.org

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
I20150114002425 TX Practitioner - Physician Assistant 0840514154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

7217 Telecom Pkwy
Garland, TX 75044-2203

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09369TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 20, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 20, 2021 Accepting new patients

Locations

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

7217 Telecom Pkwy
Ste 100
Garland, TX 75044
Phone (469) 669-0306

1001 W Southlake Blvd
Southlake, TX 76092
Phone (817) 310-0421

Interoperability endpoints

  • Direct secure messaging: daniel.cottrell@241432503910404.direct.elationemr.com
  • Direct secure messaging: dcottrell865700@direct.sw.org

Organizations & group practices 2

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 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": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1689073173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1207",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760681207",
            "telephone_number": "940-325-6831",
            "fax_number": "940-325-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOLLY HILL RD STE B",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675005",
            "telephone_number": "940-325-6831",
            "fax_number": "940-325-6891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Holly Hill Rd",
            "address_2": "Unit B",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760675043",
            "country_code": "US",
            "telephone_number": "940-654-7008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-20",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielc@dochisel.direct.care360.com",
            "affiliation": "N",
            "endpointDescription": "direct exchange/messaging address",
            "address_1": "101 Holly Hill Rd Ste B",
            "city": "Mineral Wells",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760675005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcottrell865700@direct.sw.org",
            "affiliation": "N",
            "address_1": "7217 Telecom Pkwy Ste 100",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750442203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.