Individual provider Active NPI

Patience Ann Nelson, CNM, WHNP

  • Advanced Practice Midwife
  • San Mateo, CA
National Provider Identifier
1134514771
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
77545414402 Issued in UT
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

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
7754541-4405UTMDWomen's Health Nurse Practitioner
77545414402UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.