Individual provider Active NPI

Gabrielle W Cochran, NP

  • Family Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1730116732
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704137581 Issued in MI
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

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Traverse City, MI, CCN 230097
  • Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
  • Paul Oliver Memorial Hospital Hospital, Frankfort, MI, CCN 231300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704137581MIMDFamily 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

Verify at the official NPI Registry.