Individual provider Active NPI

Erika Kolisch, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1861049652
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345248 Issued in NY
Practice address
882 Hunts Point Ave
Bronx, NY 10474-5402
Phone
(347) 503-7935
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11003255 FL
Family Nurse Practitioner 363LF0000X 345248 NY Primary

Addresses

Primary practice location

882 Hunts Point Ave
Bronx, NY 10474-5402

Mailing address

10 Waterside PLZ Apt 34K
New York, NY 10010-2649
Phone (704) 658-7608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX, OH, FL, NC, PA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20230915003626 SC Practitioner - Nurse Practitioner 0749657625 Reassigns benefits to 1 organization
I20240226001739 TX Practitioner - Nurse Practitioner 0749657625 Reassigns benefits to 1 organization
I20240320003716 OH Practitioner - Nurse Practitioner 0749657625 Reassigns benefits to 1 organization
I20240529001508 FL Practitioner - Nurse Practitioner 0749657625 Reassigns benefits to 1 organization
I20240531000195 NC Practitioner - Nurse Practitioner 0749657625 Reassigns benefits to 1 organization
I20240531001633 PA Practitioner - Nurse Practitioner 0749657625 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11003255FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Copilotiq, PC CurrentSince Aug 14, 2023 Accepting new patients

Locations

6271 Saint Augustine Rd
Jacksonville, FL 32217
Phone (615) 412-8777

6900 Tavistock Lakes Blvd
Ste 400
Orlando, FL 32827
Phone (407) 967-0446

3540 Toringdon Way
Ste 200
Charlotte, NC 28277
Phone (704) 575-7816

421 Fayetteville St
Ste 1100
Raleigh, NC 27601
Phone (910) 421-0007

1201 Dublin Rd
Ste 563
Columbus, OH 43215

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

600 Eagleview Blvd
Ste 300
Exton, PA 19341
Phone (610) 400-3850

1501 Belle Isle Ave
Ste 110
Mt Pleasant, SC 29464
Phone (828) 342-9683

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

1910 Pacific Ave
Ste 2000
Dallas, TX 75201
Phone (615) 412-8777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22351/brand/1/csg/1/fhir/r4

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1861049652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WATERSIDE PLZ APT 34K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102649",
            "telephone_number": "704-658-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 HUNTS POINT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104745402",
            "telephone_number": "347-503-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLISCH",
        "first_name": "ERIKA",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.