Individual provider Active NPI

Marcia Dee Nelson, CNM

  • Advanced Practice Midwife
  • Nacogdoches, TX
National Provider Identifier
1184787681
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
251633 Issued in TX
Practice address
623 Russell Blvd
Nacogdoches, TX 75965-1247
Phone
(936) 305-5277
Fax
(866) 859-9363
NPI assigned
Dec 18, 2006
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 251633 TX Primary

Addresses

Primary practice location

623 Russell Blvd
Nacogdoches, TX 75965-1247

Mailing address

623 Russell Blvd
Nacogdoches, TX 75965-1247
Phone (936) 305-5277

Other identifiers 1

IdentifierTypeStateIssuer
133241308MedicaidTX

Other names 1

  • Marcia Dee Nelson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090622000417 TX Practitioner - Certified Nurse Midwife (CNM) 8022169648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
251633TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Apr 10, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Apr 10, 2023 Accepting new patients
TH Healthcare, LTD Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

623 Russell Blvd
Nacogdoches, TX 75965
Phone (936) 305-5277

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: marcia.nelson.1@1438.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1184787681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651247",
            "telephone_number": "936-305-5277",
            "fax_number": "866-859-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651247",
            "telephone_number": "936-305-5277",
            "fax_number": "866-859-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARCIA",
        "middle_name": "DEE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "251633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133241308",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "NELSON",
            "middle_name": "DEE",
            "credential": "CNM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.