Michael Richard Kolodgie, MSN, PMHNP, B-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

L8-0000182 Issued in DE

Practice address

575 S Dupont Hwy
New Castle, DE 19720-4606

Phone

(302) 328-3330

Fax

(302) 220-4015

NPI assigned

Jul 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Delaware Behavioral Health IncGroup PAC ID 8921227174, 16 clinicians

PHC Meadowwood, LLCGroup PAC ID 9335318823, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Delaware Behavioral Health, Inc.

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Newport, DE
  • NPI 1164864021
  Medicare reassignment Care Compare group NPD
• PHC Meadowwood, LLC

  • Psychiatric Hospital
  • New Castle, DE
  • NPI 1528357357
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1841852357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N JAMES ST",
            "address_2": "STE 200",
            "city": "NEWPORT",
            "state": "DE",
            "postal_code": "198043171",
            "telephone_number": "302-543-4425",
            "fax_number": "302-543-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S DUPONT HWY",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204606",
            "telephone_number": "302-328-3330",
            "fax_number": "302-220-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODGIE",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "credential": "MSN, PMHNP, B-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Anne Kiser, P.T.
• Chris Kittle, MD
• Emily Klein, PSY
• David Klopfenstein, CRNA
• Neelima Koduru
• Matthew J Koterwas, FNP
• Karen Jean Kovacic, MD
• Tara L Kulak
• Chelsea Rae Kulesza
• Laboratory Corporation of America Holdings

• Psychiatric/Mental Health Nurse Practitioner in New Castle, DE
• Providers in New Castle, DE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.

Verify at the official NPI Registry.