Active NPI
Gabrielle W Cochran, NP
- Family Nurse Practitioner
- Traverse City, MI
National Provider Identifier
1730116732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704137581
- Practice address
- 1515 Cass Street Suite C
Traverse City, MI 49684-4156 - Phone
- (231) 947-2270
- Fax
- (231) 947-1284
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704137581 | MI | Primary |
Addresses
Primary practice location
1515 Cass Street Suite C
Traverse City, MI 49684-4156
Mailing address
1515 Cass Street Suite C
Traverse City, MI 48684-4156
Phone (231) 947-2270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040924000114 | MI | Practitioner - Nurse Practitioner | 3678541950 | Practice locations: Traverse City, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Michigan State University College of Human Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3335 S Airport Rd W
7B
Traverse City, MI 49684-4156
3335 S Airport Rd W
Suite 7B
Traverse City, MI 49684-7928
Phone (231) 947-2270
Hospital & facility affiliations
- Munson Medical Center
- Kalkaska Memorial Health Center
- Paul Oliver Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704137581 | MI | MD | Family Nurse Practitioner |
Hospital & facility affiliations 3
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": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1730116732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 CASS STREET SUITE C",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "486844156",
"telephone_number": "231-947-2270",
"fax_number": "231-947-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 CASS STREET SUITE C",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844156",
"telephone_number": "231-947-2270",
"fax_number": "231-947-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "GABRIELLE",
"middle_name": "W",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704137581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.