Individual provider Active NPI

Colette Nelson, FNP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1952525396
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355184 Issued in NY
Practice address
5904 Chapel Hill Blvd Ste 100
Plano, TX 75093-5913
Phone
(646) 896-6610
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704380646 MI
Registered Nurse 163W00000X 82438701 NY
Diabetes Educator Registered Nurse 163WD0400X 20110545 NJ
Diabetes Educator Registered Nurse 163WD0400X 20110545 NY
Family Nurse Practitioner 363LF0000X 4704380646 MI
Registered Dietitian 133V00000X 847969 NY
Registered Dietitian 133V00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 355184 NY Primary

Addresses

Primary practice location

5904 Chapel Hill Blvd Ste 100
Plano, TX 75093-5913

Mailing address

205 3Rd Ave Apt 8D
New York, NY 10003-2510
Phone (646) 896-6610

Other practice location 1

550 Summit Ave Ste 1A
Jersey City, NJ 07306-2700
Phone (646) 896-6610

Other practice location 2

8851 Center Dr Ste 404
LA Mesa, CA 91942-3072
Phone (646) 896-6610

Other practice location 3

2474 Pontiac Dr
Sylvan Lake, MI 48320-1662
Phone (646) 896-6610

Other practice location 4

205 3rd Ave Apt 8D
New York, NY 10003-2510
Phone (646) 896-6610

Other practice location 5

109 the Esplanade S Apt 303
Venice, FL 34285-2136
Phone (646) 896-6610

Other identifiers 1

IdentifierTypeStateIssuer
05808228MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, TX, NJ, MI6 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
I20170330002235 NY Practitioner - Registered Dietitian Or Nutrition Professional 1052696234 Reassigns benefits to 3 organizations
I20241125002974 NY Practitioner - Nurse Practitioner 1052696234 Reassigns benefits to 2 organizations
I20251028004646 FL Practitioner - Nurse Practitioner 1052696234 Practice locations: Venice, FL
I20251210000293 TX Practitioner - Nurse Practitioner 1052696234 Practice locations: Plano, TX
I20251230002304 NJ Practitioner - Nurse Practitioner 1052696234 Practice locations: Jersey City, NJ
I20260403000462 MI Practitioner - Nurse Practitioner 1052696234 Practice locations: Sylvan Lake, MI

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrine Associate of West Village PCGroup PAC ID 7113102591, 12 clinicians

Practice addresses (Care Compare)

160 E 32ND St
New York, NY 10016-6004
Phone (212) 675-9332

205 3Rd Ave
Apt 8D
New York, NY 10003-2510
Phone (646) 896-6610

3016 30TH Dr
Astoria, NY 11102-1874
Phone (917) 755-2007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
847969NYMDRegistered Dietitian
4704380646MIMDRegistered Nurse
82438701NYMDRegistered Nurse
20110545NJMDDiabetes Educator Registered Nurse
20110545NYMDDiabetes Educator Registered Nurse
006908NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Prominis Medical Services PC Single Specialty CurrentSince Jun 1, 2018 Accepting new patients
Endocrine Associate of West Village PC Single Specialty CurrentSince Feb 19, 2017 Accepting new patients
Colette NP in Family Health PLLC Registered Nurse CurrentSince Sep 1, 2025 Accepting new patients

Locations

8851 Center Dr
Ste 404
La Mesa, CA 91942
Phone (619) 463-1293

550 Summit Ave
Ste 1A
Jersey City, NJ 07306
Phone (201) 222-5450

332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

160 E 32nd St
New York, NY 10016
Phone (212) 263-5940

275 7th Ave
Fl 2
New York, NY 10001
Phone (212) 675-9332

5904 Chapel Hill Blvd
Ste 100
Plano, TX 75093
Phone (646) 896-6610

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDAAED/Endpoint/EDAAED

Organizations & group practices 4

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1952525396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 3RD AVE APT 8D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032510",
            "telephone_number": "646-896-6610",
            "fax_number": "212-937-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 CHAPEL HILL BLVD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935913",
            "telephone_number": "646-896-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Summit Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073062700",
            "country_code": "US",
            "telephone_number": "646-896-6610",
            "fax_number": "212-937-3325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8851 Center Dr Ste 404",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423072",
            "country_code": "US",
            "telephone_number": "646-896-6610",
            "fax_number": "212-937-3325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2474 Pontiac Dr",
            "address_purpose": "LOCATION",
            "city": "Sylvan Lake",
            "state": "MI",
            "postal_code": "483201662",
            "country_code": "US",
            "telephone_number": "646-896-6610",
            "fax_number": "212-937-3325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 3rd Ave Apt 8D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100032510",
            "country_code": "US",
            "telephone_number": "646-896-6610",
            "fax_number": "212-937-3325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 the Esplanade S Apt 303",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342852136",
            "country_code": "US",
            "telephone_number": "646-896-6610",
            "fax_number": "212-937-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "COLETTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704380646",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "82438701",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NJ",
            "license": "20110545",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "20110545",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704380646",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "847969",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05808228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.