Active NPI
Patience Ann Nelson, CNM, WHNP
- Advanced Practice Midwife
- San Mateo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 77545414402
- Practice address
- 951 Mariners Island Blvd
San Mateo, CA 94404-1558 - Phone
- (650) 285-6927
- Fax
- (888) 352-7383
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 7754541-4405 | UT | |
| Advanced Practice Midwife | 367A00000X | 77545414402 | UT | Primary |
Addresses
Primary practice location
951 Mariners Island Blvd
San Mateo, CA 94404-1558
Mailing address
951 Mariners Island Blvd
San Mateo, CA 94404-1558
Phone (650) 285-6927
Other practice location 1
9360 Glacier Hwy Ste 202
Juneau, AK 99801-7012
Phone (772) 217-4557
Other practice location 2
601 Abbot Rd
East Lansing, MI 48823-3366
Phone (772) 217-4557
Other practice location 3
2345 Rice St Ste 230
Roseville, MN 55113-3769
Phone (772) 217-4557
Other practice location 4
110 E Broadway Street
Hobbs, NM 88240
Phone (772) 217-4557
Other practice location 5
2595 Interstate Dr Ste 103
Harrisburg, PA 17110-9378
Phone (772) 217-4557
Other practice location 6
1201 Hays St
Tallahassee, FL 32301-2699
Phone (650) 285-6927
Other practice location 7
45 Memorial Cir
Augusta, ME 04330-6400
Phone (650) 285-6927
Other practice location 8
12550 W Explorer Dr Ste 100
Boise, ID 83713-1890
Phone (650) 285-6927
Other practice location 9
135 N Pennsylvania St Ste 1610
Indianapolis, IN 46204-2448
Phone (650) 285-6927
Other practice location 10
8825 N 23rd Ave Ste 100
Phoenix, AZ 85021-4148
Phone (650) 285-6927
Other practice location 11
15 W South Temple Ste 600
Salt Lake City, UT 84101-1536
Phone (650) 285-6927
Other practice location 12
1886 W 800 N
Pleasant Grove, UT 84062-4097
Phone (801) 756-5288
Other practice location 13
100 Charles Ewing Blvd Ste 160
Ewing, NJ 08628-3456
Phone (650) 285-6927
Other practice location 14
300 Deschutes Way SW Ste 208
Tumwater, WA 98501-7719
Phone (650) 285-6927
Other practice location 15
100 N Main St Ste 2
Barre, VT 05641-4150
Phone (650) 285-6927
Other practice location 16
7 Saint Paul St Ste 820
Baltimore, MD 21202-1681
Phone (650) 285-6927
Other practice location 17
112 N Curry St
Carson City, NV 89703-4934
Phone (650) 285-6927
Other practice location 18
211 E 7th St Ste 620
Austin, TX 78701-3218
Phone (650) 285-6927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7754541-4405 | UT | MD | Women's Health Nurse Practitioner |
| 77545414402 | UT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Association of Utah | Past | Accepting new patients | |
| Planned Parenthood Association of Utah | Past | Accepting new patients | |
| Planned Parenthood Association of Utah | Past | Accepting new patients | |
| Planned Parenthood Association of Utah | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- patience.nelson.p1@direct.ppau.nextgenshare.com
Organizations & group practices 4
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.
-
- Voluntary or Charitable Agency
- Salt Lake City, UT
- NPI 1073549614
-
- Clinic Pharmacy
- Salt Lake City, UT
- NPI 1801387626
-
- Clinic Pharmacy
- West Valley City, UT
- NPI 1881010874
-
- Clinic Pharmacy
- Orem, UT
- NPI 1902397847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1134514771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 MARINERS ISLAND BLVD",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944041558",
"telephone_number": "650-285-6927",
"fax_number": "888-352-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 MARINERS ISLAND BLVD",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944041558",
"telephone_number": "650-285-6927",
"fax_number": "888-352-7383"
}
],
"practiceLocations": [
{
"address_1": "9360 Glacier Hwy Ste 202",
"address_purpose": "LOCATION",
"city": "Juneau",
"state": "AK",
"postal_code": "998017012",
"country_code": "US",
"telephone_number": "772-217-4557",
"fax_number": "888-352-7383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Abbot Rd",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488233366",
"country_code": "US",
"telephone_number": "772-217-4557",
"fax_number": "888-352-7383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2345 Rice St Ste 230",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "MN",
"postal_code": "551133769",
"country_code": "US",
"telephone_number": "772-217-4557",
"fax_number": "888-352-7383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 E Broadway Street",
"address_purpose": "LOCATION",
"city": "Hobbs",
"state": "NM",
"postal_code": "88240",
"country_code": "US",
"telephone_number": "772-217-4557",
"fax_number": "888-352-7383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2595 Interstate Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171109378",
"country_code": "US",
"telephone_number": "772-217-4557",
"fax_number": "888-352-7383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Hays St",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323012699",
"country_code": "US",
"telephone_number": "650-285-6927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45 Memorial Cir",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "ME",
"postal_code": "043306400",
"country_code": "US",
"telephone_number": "650-285-6927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12550 W Explorer Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837131890",
"country_code": "US",
"telephone_number": "650-285-6927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 N Pennsylvania St Ste 1610",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462042448",
"country_code": "US",
"telephone_number": "650-285-6927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8825 N 23rd Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850214148",
"country_code": "US",
"telephone_number": "650-285-6927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 W South Temple Ste 600",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841011536",
"country_code": "US",
"telephone_number": "650-285-6927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1886 W 800 N",
"address_purpose": "LOCATION",
"city": "Pleasant Grove",
"state": "UT",
"postal_code": "840624097",
"country_code": "US",
"telephone_number": "801-756-5288",
"fax_number": "801-756-7589",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Charles Ewing Blvd Ste 160",
"address_purpose": "LOCATION",
"city": "Ewing",
"state": "NJ",
"postal_code": "086283456",
"country_code": "US",
"telephone_number": "650-285-6927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Deschutes Way SW Ste 208",
"address_purpose": "LOCATION",
"city": "Tumwater",
"state": "WA",
"postal_code": "985017719",
"country_code": "US",
"telephone_number": "650-285-6927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 N Main St Ste 2",
"address_purpose": "LOCATION",
"city": "Barre",
"state": "VT",
"postal_code": "056414150",
"country_code": "US",
"telephone_number": "650-285-6927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Saint Paul St Ste 820",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212021681",
"country_code": "US",
"telephone_number": "650-285-6927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 N Curry St",
"address_purpose": "LOCATION",
"city": "Carson City",
"state": "NV",
"postal_code": "897034934",
"country_code": "US",
"telephone_number": "650-285-6927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 E 7th St Ste 620",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787013218",
"country_code": "US",
"telephone_number": "650-285-6927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "PATIENCE",
"middle_name": "ANN",
"credential": "CNM, WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2022-03-22",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "UT",
"license": "7754541-4405",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "UT",
"license": "77545414402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.