Individual provider Active NPI

Jonathan Daniel Colino, NP

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1962736074
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335944 Issued in NY
Practice address
101 Herkimer Rd
Utica, NY 13502
Phone
(315) 724-6144
Fax
(315) 724-3978
NPI assigned
Sep 22, 2009
Reactivated
Apr 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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 335944 NY Primary

Addresses

Primary practice location

101 Herkimer Rd
Utica, NY 13502

Mailing address

101 Herkimer Rd
Utica, NY 13502-2311
Phone (315) 724-6144

Other practice location 1

144 Genesee St
Suite 401
Auburn, NY 13021-3503
Phone (315) 253-7364

Other practice location 2

144 Genesee St
Suite 401
Auburn, NY 13021-3503
Phone (315) 253-7364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101008001205 NY Practitioner - Nurse Practitioner 5991997926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Extend Care Family Health NP PLLCGroup PAC ID 1759541709, 2 clinicians

Practice addresses (Care Compare)

101 Herkimer Rd
Utica, NY 13502-2311
Phone (315) 724-6144

Hospital & facility affiliations

  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
  • Oswego Hospital Hospital, Oswego, NY, CCN 330218

Merit-based Incentive Payment System (MIPS)

Final score
96.06 of 100Reported as individual
Quality
75.73
Improvement activities
40
Cost
85.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cap Medical, LLC Past Accepting new patients
East Hill Family Medical, Inc. PastSince Jul 1, 2015 Accepting new patients
Cap Medical Group PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jonathan.colino.1@18043.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1962736074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HERKIMER RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022311",
            "telephone_number": "315-724-6144",
            "fax_number": "315-724-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HERKIMER RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-724-6144",
            "fax_number": "315-724-3978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Genesee St",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130213503",
            "country_code": "US",
            "telephone_number": "315-253-7364",
            "fax_number": "315-252-7801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 Genesee St",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130213503",
            "country_code": "US",
            "telephone_number": "315-253-7364",
            "fax_number": "315-252-7801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLINO",
        "first_name": "JONATHAN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2019-04-18",
        "deactivation_date": "2019-03-20",
        "reactivation_date": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.