Charlotte M Nelson, A.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

857 Issued in AK

Practice address

4551 E Bogard Rd
Wasilla, AK 99654-6075

Phone

(907) 373-6500

Fax

(888) 456-0663

NPI assigned

Jan 31, 2007

Last updated

Mar 22, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

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

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alaska Brain Center, LLC

  • Specialist
  • Wasilla, AK
  • NPI 1215130372
  NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1073650628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546075",
            "telephone_number": "907-373-6500",
            "fax_number": "888-456-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546075",
            "telephone_number": "907-373-6500",
            "fax_number": "888-456-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHARLOTTE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4576",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Nault
• Kaitlyn Allyssa Naylor, RBT
• Neighbor to Neighbor Healthcare
• Kenneth Dwayne Neill
• Alexis Nelson
• Christopher R Nelson
• Cindy Maria Nelson
• Kara Lee Nelson
• Cynthia Kerner Neubauer, PT
• Robert Neubauer, MD

• Nurse Practitioner in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.