Marie Y Nelson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00393400 Issued in NJ

Practice address

912 S Main St
Pleasantville, NJ 08232-3618

Phone

(609) 445-4926

Fax

(609) 380-4795

NPI assigned

Sep 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20926/brand/1/csg/1/fhir/r4
• Direct secure messaging: marie.nelson.1@24114.direct.athenahealth.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.

• Medical Service Professionals of NJ LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lyndhurst, NJ
  • NPI 1972044923
  Medicare reassignment
• Ruffin Associates Healthy Housecalls LLC

  • Primary Care Clinic/Center
  • Linwood, NJ
  • NPI 1790331353
  NPD
• Reverence Discount Pharmacy

  • Community/Retail Pharmacy
  • Pleasantville, NJ
  • NPI 1235679846
  NPD (past)

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1154670412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S MAIN ST",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323618",
            "telephone_number": "609-445-4926",
            "fax_number": "609-380-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S MAIN ST",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323618",
            "telephone_number": "609-445-4926",
            "fax_number": "609-380-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARIE",
        "middle_name": "Y",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00393400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pleasantville",
            "affiliation": "N",
            "address_1": "912 S Main St",
            "city": "Pleasantville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082323618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Henry Miller Jr., D.C.
• Mobility on Wheels LLC
• Melissa Mordecai, MSN, CRNP
• Aracelio Morgado, DDS
• Theresa Nammour
• Patricia Elaine Nelson, RN
• New Beginings Recovery LLC
• New Jersey CVS Pharmacy, L.L.C.
• Next Generation Eye Care LLC
• Teresa O'Brien, DMD

• Family Nurse Practitioner in Pleasantville, NJ
• Providers in Pleasantville, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.