Joshua Douglas Nellis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2840 Issued in NE

Practice address

12050 Pacific St
Omaha, NE 68154-3507

Phone

(402) 614-4969

NPI assigned

Sep 27, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Peter'S Health Partners Medical Associates, P.C.Group PAC ID 6103061189, 480 clinicians

St Peters Hospital of the City of AlbanyGroup PAC ID 2668460072, 268 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ellis Hospital Hospital, Schenectady, NY, CCN 330153
• St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
• Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jnellis@caspc.medentdirect.com
• Direct secure messaging: jnellis2548074@direct.trinity-health.org

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.

• St. Peter'S Health Partners Medical Associates, P.C.

  • Multi-Specialty Clinic/Center
  • Albany, NY
  • NPI 1750626834

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• St. Peter'S Hospital of the City of Albany

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1518042357

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727

  Physician Assistant

  Medicare reassignment NPD
• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1538606181

  Physician Assistant

  NPD
• St. Peter'S Hospital of the City of Albany

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1497701106

  Physician Assistant

  NPD
• St. Peter'S Health Partners Medical Associates, P.C.

  • Pediatrics Physician
  • Slingerlands, NY
  • NPI 1669717260

  Physician Assistant

  NPD (past)

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

• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993
  Care Compare affiliation
• Nathan Littauer Hospital & Nursing Home

  • General Acute Care Hospital
  • Gloversville, NY
  • NPI 1538296207
  Care Compare affiliation
• Nathan Littauer Hospital Association

  • Pharmacy
  • Gloversville, NY
  • NPI 1285706655

  Hospital

  Care Compare affiliation
• Nathan Littauer Hospital Association

  • Rural Acute Care Hospital
  • Gloversville, NY
  • NPI 1336145168
  Care Compare affiliation
• Nathan Littauer Hospital Association

  • Clinic/Center
  • Gloversville, NY
  • NPI 1770671448

  Hospital

  Care Compare affiliation
• St. Mary'S Healthcare

  • General Acute Care Hospital
  • Amsterdam, NY
  • NPI 1811977796
  Care Compare affiliation

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1134890288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12050 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543507",
            "telephone_number": "402-614-4969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Sitterly Rd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120655646",
            "country_code": "US",
            "telephone_number": "518-383-9373",
            "fax_number": "518-383-4591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2546 Balltown Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123091079",
            "country_code": "US",
            "telephone_number": "518-377-8184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Arterial Plz # 30-A",
            "address_purpose": "LOCATION",
            "city": "Gloversville",
            "state": "NY",
            "postal_code": "120782512",
            "country_code": "US",
            "telephone_number": "518-773-2303",
            "fax_number": "518-773-3670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Palisades Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122056433",
            "country_code": "US",
            "telephone_number": "518-438-4496",
            "fax_number": "518-438-5803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3757 Carman Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123035438",
            "country_code": "US",
            "telephone_number": "518-881-0810",
            "fax_number": "518-881-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Saratoga Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Glenville",
            "state": "NY",
            "postal_code": "123024226",
            "country_code": "US",
            "telephone_number": "518-348-5300",
            "fax_number": "518-579-3194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Guy Park Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120101044",
            "country_code": "US",
            "telephone_number": "518-842-7088",
            "fax_number": "518-843-1324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELLIS",
        "first_name": "JOSHUA",
        "middle_name": "DOUGLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-27",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027341",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2546 Balltown Rd Ste 300",
            "city": "Schenectady",
            "state": "NY",
            "country_code": "US",
            "postal_code": "123091079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Donald Nekola
• Paige Nekola
• Ruth Louise Nekonchuk, RD, CDE, LMNT
• Nefoel Nekoudjro
• Rachael Nelan
• Mark Nellis, PT, DPT
• Laura Nelms
• Briana Nelsen, PLMHP
• Emily Reese Nelsen
• Katie Nelsen

• Physician Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.