John W Nelson, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

24875 Issued in OK

Practice address

5252 N Meridian Ave
Oklahoma City, OK 73112-2178

Phone

(405) 702-8623

Fax

(405) 702-8628

NPI assigned

Jun 29, 2006

Last updated

Jan 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Internal Medicine, Pain Management

Education

Baylor College of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Pain Management of Oklahoma PCGroup PAC ID 8527061506, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14598/brand/1/csg/1/fhir/r4
• Direct secure messaging: john.nelson.1@14598.direct.athenahealth.com
• Direct secure messaging: johnnelson@pnfmc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advance Pain Management of Oklahoma PC

  • Pain Medicine Physician
  • Oklahoma City, OK
  • NPI 1417981564
  Medicare reassignment Care Compare group NPD Authorized official
• Advance Pain Management of Oklahoma PC

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
  • NPI 1710317805
  NPD (past) Authorized official
• John W. Nelson M.D., Apc

  • Pain Medicine Physician
  • Oklahoma City, OK
  • NPI 1548633779
  Authorized official Same address or phone
• Accuhealth LLC

  dba AccuHealth Sleep Disorders Center

  • Physiological Laboratory
  • Oklahoma City, OK
  • NPI 1548229032
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• Advanced Lifestyle Solutions PLLC

  • General Practice Physician
  • Frisco, TX
  • NPI 1043824543
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1174551923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122178",
            "telephone_number": "405-754-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122178",
            "telephone_number": "405-702-8623",
            "fax_number": "405-702-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "24875",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "24875",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "E6543",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OK",
            "license": "24875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200087810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Nelson, M.ED.
• Janae Nelson
• Jane M Nelson, MS, ARNP
• Jennifer K. Nelson, M.D.
• Jennifer Lynne Nelson, P.T.
• Joshua Nelson
• Julie Nelson
• Katelyn Nicole Nelson, OT
• Kathleen E Nelson
• Korey Monchae Nelson

• Pain Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pain Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.