Niesha R Nelson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7667592-4405 Issued in UT

Practice address

6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977

Phone

(801) 266-3113

NPI assigned

Jun 29, 2017

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 UT

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

Specialty

Nurse Practitioner

Education

University of Utah School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Innovative Wound Solutions LLCGroup PAC ID 3072954759, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: niesha.nelson.1@14940.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/13971/brand/1/csg/1/fhir/r4
• Direct secure messaging: niesha.nelson.1@31166.direct.athenahealth.com
• Direct secure messaging: niesha@twd-ut.direct.office.nextgen.com
• Direct secure messaging: nnelson@wfm.gwaydirect.com

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.

• Innovative Wound Solutions, LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1649038910

  UT

  Medicare reassignment Care Compare group NPD
• Innovation Medical Group PC

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1235526682

  Family

  Medicare reassignment NPD
• Taylor G Wright PC

  • Podiatrist
  • Layton, UT
  • NPI 1528765575
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1124549100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 S 3000 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216977",
            "telephone_number": "801-266-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 S 3000 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216977",
            "telephone_number": "801-266-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "557 W 2600 S",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840107717",
            "country_code": "US",
            "telephone_number": "801-298-9155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6405 S 3000 E Ste 201",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841216990",
            "country_code": "US",
            "telephone_number": "801-266-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NIESHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7667592-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "7667592-4405",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Nelson, L.P.N.
• Michael David Nelson
• Michelle Markay Nelson, LCSW
• Nasha Crowfoot Nelson
• Nicole Audrey Nelson, PHYSICIAN ASSISTANT
• Oaklee Nelson
• Patricia A Nelson, LSAC
• Patricia J Nelson, LCMHC
• Raoul Devin Nelson
• Russell L Nelson, MD

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.