DR. COLE UPTON DNP
NPI 1649921289
Nurse Practitioner - Psychiatric/Mental Health in Columbus, OH
About Dr. Cole Upton Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. COLE UPTON DNP (NPI 1649921289) is an individual psychiatric/mental health provider in Columbus, Ohio, licensed in Ohio (2022041853) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Cole Upton Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Cole Upton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45239
- Reassigned Medicare billing, Ohio enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBUS, OH 43210
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cole Upton's NPI number?
The NPI number for Cole Upton is 1649921289. It was assigned to this individual provider in the NPPES registry on January 14, 2022.
Where is Cole Upton located?
Cole Upton practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8333.
What is Cole Upton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Cole Upton enrolled in Medicare?
Yes. Cole Upton is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Cole Upton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cole Upton reassigns Medicare benefits to Collaborative Wellness Partners LLC (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cole Upton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cole Upton accept?
Health plans from Anthem Blue Cross and Blue Shield, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Cole Upton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cole Upton was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.