John Christopher Nelson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G74722 Issued in CA

Practice address

3327 Timber Fall CT
Eureka, CA 95503-4894

Phone

(707) 445-8443

Fax

(707) 445-2209

NPI assigned

Aug 10, 2005

Sex

Male

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 CA

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

Specialty

Hospice/Palliative Care

Education

University of California, San Francisco School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospice of Humboldt, Inc.Group PAC ID 5193999415, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of Humboldt, Inc. Hospice, Eureka, CA, CCN 051536

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Hospice of Humboldt Inc

  • Community Based Hospice Care Agency
  • Eureka, CA
  • NPI 1619015393

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Six Rivers Emergency Physicians

  • Emergency Medicine Physician
  • Arcata, CA
  • NPI 1396786026
  NPD (past)

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

• Hospice of Humboldt Inc

  • Community Based Hospice Care Agency
  • Eureka, CA
  • NPI 1619015393
  Care Compare affiliation

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1124029319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 TIMBER FALL CT",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034894",
            "telephone_number": "707-445-8443",
            "fax_number": "707-445-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 TIMBER FALL CT",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034894",
            "telephone_number": "707-445-8443",
            "fax_number": "707-445-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G74722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G747220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen Lee Nelson
• Benjamin James Nelson, RN
• Chandel Nelson
• David Andrew Nelson, DMD
• Eric Helland Nelson, SAC
• Kimberly Fullerton Nelson, MD
• Melissa Rose Nelson, B.A.
• Michael Nelson
• Savana Nelson
• Linda Parmentier Nesbitt, LCSW

• Family Medicine Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.