Active NPI
Colette Nelson, FNP
- Family Nurse Practitioner
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 355184
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05808228 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, TX, NJ, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 847969 | NY | MD | Registered Dietitian |
| 4704380646 | MI | MD | Registered Nurse |
| 82438701 | NY | MD | Registered Nurse |
| 20110545 | NJ | MD | Diabetes Educator Registered Nurse |
| 20110545 | NY | MD | Diabetes Educator Registered Nurse |
| 006908 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prominis Medical Services PC | Single Specialty | Current | Accepting new patients |
| Endocrine Associate of West Village PC | Single Specialty | Current | Accepting new patients |
| Colette NP in Family Health PLLC | Registered Nurse | Current | 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
- 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.
-
- Family Nurse Practitioner
- Plano, TX
- NPI 1508743485
NY, Registered Nurse
-
- Endocrinology, Diabetes & Metabolism Physician
- Long Island City, NY
- NPI 1992007819
Single Specialty
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1841323771
Single Specialty
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1144461146
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.