Jeremiah Nelson, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

23921 Issued in NV

Practice address

2880 N Tenaya Way Ste 320
Las Vegas, NV 89128-0642

Phone

(702) 862-8226

Fax

(702) 862-8227

NPI assigned

Nov 18, 2005

Last updated

Sep 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, NV2 enrollments

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 2

Specialty

Endocrinology

Education

University of Missouri, Kansas City, School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Intermountain Medical Holdings Nevada IncGroup PAC ID 7416054622, 311 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremiahnelson@hcpnv.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intermountain Medical Holdings Nevada Inc

  dba Intermountain Health

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1245997279

  Endocrinology, Diabetes & Metabolism

  Medicare reassignment Care Compare group NPD
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Anesthesia Professional Services

  • Anesthesiology Physician
  • Mason City, IA
  • NPI 1780278242
  Medicare reassignment NPD
• Intermountain Medical Holdings Nevada Inc

  dba Intermountain Health Home Care

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1689882557
  NPD
• North Iowa Mercy Clinics

  dba MercyOne Diabetes Care

  • Endocrinology, Diabetes & Metabolism Physician
  • Mason City, IA
  • NPI 1922274653
  NPD
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Family and Sports Medicine

  • Sports Medicine (Family Medicine) Physician
  • Mason City, IA
  • NPI 1982300349
  NPD
• Florida Health Sciences Center Inc

  dba Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1235196510

  Endocrinology, Diabetes & Metabolism

  NPD (past)
• Johns Hopkins All Children's Hospital, Inc

  • Children's Hospital
  • St Petersburg, FL
  • NPI 1427114099
  NPD (past)
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Specialty Care

  • Internal Medicine Physician
  • Mason City, IA
  • NPI 1609806371
  NPD (past)
• Talbert Medical Group

  • Health Maintenance Organization
  • Costa Mesa, CA
  • NPI 1497759005
  NPD (past)
• University Medical Associates Inc.

  dba Uma

  • Multi-Specialty Clinic/Center
  • Athens, OH
  • NPI 1023047974
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1063494524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 N TENAYA WAY STE 320",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280642",
            "telephone_number": "702-862-8226",
            "fax_number": "702-862-8227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E Princeton St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031435",
            "country_code": "US",
            "telephone_number": "407-896-2901",
            "fax_number": "407-896-2902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JEREMIAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME 92825",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IA",
            "license": "MD-45607",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35099088",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "FL",
            "license": "ME0092825",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "OH",
            "license": "35099088",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NV",
            "license": "23921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Lynn Nelson
• Howard Demetris Nelson
• Irene Nelson, APRN
• James Nelson Jr.
• Jazzmere Nelson
• John Edward Nelson, MD
• Johnny Nelson
• Jordan W Nelson
• Joshua Nelson
• Karen B Nelson, FNP-BC

• Pediatric Endocrinology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Endocrinology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.
• 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.