Individual provider Active NPI

Aaron Douglas Nelson, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Fort Wayne, IN
National Provider Identifier
1104900323
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
02003040A Issued in IN
Practice address
Northern Indiana VA Healthcare System
2121 Lake Ave, Department of Surgery
Fort Wayne, IN 46805
Phone
(260) 426-5431
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 02003040A IN Primary

Addresses

Primary practice location

Northern Indiana VA Healthcare System
2121 Lake Ave, Department of Surgery
Fort Wayne, IN 46805

Mailing address

Northern Indiana VA Healthcare System
2121 Lake Ave, Department of Surgery
Fort Wayne, IN 46805
Phone (260) 426-5431

Other practice location 1

7201 Engle Rd
Fort Wayne, IN 46804-2228
Phone (260) 432-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200205003013 IN Practitioner - Pain ManagementPractitioner - Anesthesiology 3870929011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Midwestern University, Chicago College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Group LLCGroup PAC ID 0143453670, 54 clinicians
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

1542 S Bloomington St
Greencastle, IN 46135-2122
Phone (765) 658-2706

300 E Boyd Ave
Suite 260
Greenfield, IN 46140-2845
Phone (317) 468-4090

Hospital & facility affiliations

  • Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037
  • Major Hospital Hospital, Shelbyville, IN, CCN 150097
  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003040AINMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Physician Network, LLC CurrentSince Mar 1, 2026 Accepting new patients
Pain Management Group LLC Pain Medicine CurrentSince Jan 1, 2020 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

300 E Boyd Ave
Ste 260
Greenfield, IN 46140
Phone (317) 468-4060

801 N State St
Greenfield, IN 46140
Phone (317) 462-5544

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

570 Linn St
Ste 2
Allegan, MI 49010
Phone (269) 673-3619

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

123 E Crawford St
Findlay, OH 45840

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1104900323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHERN INDIANA VA HEALTHCARE SYSTEM",
            "address_2": "2121 LAKE AVE, DEPARTMENT OF SURGERY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46805",
            "telephone_number": "260-426-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHERN INDIANA VA HEALTHCARE SYSTEM",
            "address_2": "2121 LAKE AVE, DEPARTMENT OF SURGERY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46805",
            "telephone_number": "260-426-5431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7201 Engle Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468042228",
            "country_code": "US",
            "telephone_number": "260-432-1800",
            "fax_number": "260-432-1804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AARON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "02003040A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.