Individual provider Active NPI

Chelsea Elizabeth Matesi Cottrell, AUD

  • Audiologist
  • Colorado Springs, CO
National Provider Identifier
1962956680
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
830 Issued in CO
Practice address
1625 Medical Center PT
Suite 180
Colorado Springs, CO 80907-8731
Phone
(719) 667-1327
NPI assigned
Aug 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 830 CO Primary
Audiologist 231H00000X

Addresses

Primary practice location

1625 Medical Center PT
Suite 180
Colorado Springs, CO 80907-8731

Mailing address

1625 Medical Center PT
Suite 180
Colorado Springs, CO 80907-8731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190131001932 NE Practitioner - Qualified Audiologist 4688957566 Reassigns benefits to 1 organization
I20190206003246 IA Practitioner - Qualified Audiologist 4688957566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Father Flanagans Boys HomeGroup PAC ID 9638165400, 93 clinicians

Practice addresses (Care Compare)

14000 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-6000

14040 Boys Town Hospital Rd
Boys Town, NE 68010-7521
Phone (531) 355-6800

14080 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (402) 778-6900

14092 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-1449

320 McKenzie Ave
Suite 202
Council Bluffs, IA 51503-1002
Phone (712) 256-5272

555 N 30TH St
Omaha, NE 68131-2136

7205 W Ctr Rd
Omaha, NE 68124-2387
Phone (531) 355-7684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
372NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan'S Boys' Home Audiologist CurrentSince Feb 1, 2019 Accepting new patients
ENT Services PC Audiologist Past Accepting new patients
Father Flanagan'S Boys Home Past Accepting new patients

Locations

320 McKenzie Ave
Ste 202
Council Bluffs, IA 51503
Phone (712) 256-5272

320 McKenzie Ave
Ste 202F
Council Bluffs, IA 51503

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

7205 W Center Rd
Ste 103
Omaha, NE 68124
Phone (402) 392-7600

425 N 30th St
Omaha, NE 68131
Phone (402) 452-5000

555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100

Organizations & group practices 3

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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1962956680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT",
            "address_2": "SUITE 180",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT",
            "address_2": "SUITE 180",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078731",
            "telephone_number": "719-667-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "CHELSEA",
        "middle_name": "ELIZABETH MATESI",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "830",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.