Individual provider Active NPI

Samuel Arnold Nelson, MD

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1063443281
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
7590 Issued in AZ
Practice address
518 E 1St St
Tucson, AZ 85705-7818
Phone
(520) 623-8556
Fax
(520) 896-2277
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 7590 AZ Primary

Addresses

Primary practice location

518 E 1St St
Tucson, AZ 85705-7818

Mailing address

518 E 1St St
Tucson, AZ 85705-7818
Phone (520) 623-8556

Other identifiers 1

IdentifierTypeStateIssuer
243460MedicaidAZ

Other names 1

  • Dr. Arnold Samuel Nelson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051115000124 AZ Practitioner - Psychiatry 0547289084 Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York University School of Medicine, 1968
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

518 E 1St St
Tucson, AZ 85705-7818
Phone (520) 623-8556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. Psychiatry Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063443281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E 1ST ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057818",
            "telephone_number": "520-623-8556",
            "fax_number": "520-896-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E 1ST ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057818",
            "telephone_number": "520-623-8556",
            "fax_number": "520-896-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SAMUEL",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "7590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243460",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARNOLD",
            "last_name": "NELSON",
            "middle_name": "SAMUEL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.