John D Nelson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD15082 Issued in OR

Practice address

821 NE Highway 99W Ste a
McMinnville, OR 97128-2733

Phone

(503) 472-4649

Fax

(503) 434-1679

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1194718221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 NE HIGHWAY 99W STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282733",
            "telephone_number": "503-472-4649",
            "fax_number": "503-434-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 NE HIGHWAY 99W STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282733",
            "telephone_number": "503-472-4649",
            "fax_number": "503-434-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD15082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150722",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce S Neben
• John Barton Neeld, MD
• Darla Neeway, LPN
• April Dawn Nelson, QMHP-R
• James Brian Nelson, DDS
• Lance Nelson
• Nancy Nelson, PSYD
• Richard Nelson
• Neurotherapeutic Pediatric Therapies Inc
• Angela Newburg

• Family Medicine Physician in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.