Jennifer Ann Nelsen

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G173730 Issued in IA

Practice address

14259 300TH St
Mason City, IA 50401-9437

Phone

(641) 420-1277

NPI assigned

Jun 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ottumwa Health Group LLC

  • Gynecology Physician
  • Ottumwa, IA
  • NPI 1386956290
  Medicare reassignment NPD
• Ottumwa Health Group LLC

  • Rural Health Clinic/Center
  • Ottumwa, IA
  • NPI 1336919364
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1053098285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14259 300TH ST",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504019437",
            "telephone_number": "641-420-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14259 300TH ST",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504019437",
            "telephone_number": "641-420-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G173730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominick Myers, MD
• Khaled Mohamed Sharkawy Nada, M.D
• Areeb Nagamiyan
• Jenna Nasheim, PT
• Bryan P Navarette, M.D., M.P.H.
• Jane Ann Nelson, BS ACADC
• Leann R Nelson, LISW
• Scott W Nelson, D.C.
• Kaitlyn Mary Nettleton
• Stephanie Nettleton, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in Mason City, IA
• Providers in Mason City, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.