DR. COLE UPTON DNP
NPI 1649921289
Nurse Practitioner - Psychiatric/Mental Health in Columbus, OH

Active since January 14, 2022PECOS Enrolled
410 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8333 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2022, Oct 5, 2022, Apr 6, 2022 and 2 more (5 updates tracked since 2022).

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

NPI1649921289
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. COLE UPTONCredential: DNP
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing Address460 W 10th AveColumbus, OH 43210-1240 · (614) 293-4010
Sole ProprietorNo
Enumeration DateJanuary 14, 2022
Last NPPES UpdateOctober 19, 20225 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
✔ NPI 1649921289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · 2022041853
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.426697 (OH)
410 W 10TH AVE, Columbus, OH 43210

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).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Psychiatric/Mental Health
3253 N BEND RD
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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
410 W 10TH AVE
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.