Individual provider Active NPI

Mary R. Nelson, FNP-C

  • Family Nurse Practitioner
  • Ojai, CA
National Provider Identifier
1285846220
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
449374 Issued in CA
Practice address
117 Pirie Rd
Suite D
Ojai, CA 93023-3166
Phone
(805) 646-7246
NPI assigned
May 3, 2007
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 449374 CA Primary

Addresses

Primary practice location

117 Pirie Rd
Suite D
Ojai, CA 93023-3166

Mailing address

117 Pirie Rd
Ste D
Ojai, CA 93023-3166
Phone (805) 649-5774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20140718000942 CA Practitioner - Nurse Practitioner 5890910319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Medical Group of Ventura County IncGroup PAC ID 0345218160, 42 clinicians

Practice addresses (Care Compare)

117 Pirie Rd
Suite D
Ojai, CA 93023-3166
Phone (805) 646-7246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Group of Ventura County Inc CurrentSince Feb 7, 2025 Accepting new patients

Locations

117 Pirie Rd
Ste D
Ojai, CA 93023
Phone (805) 646-7246

10885 Telegraph Rd
Ventura, CA 93004
Phone (805) 647-7704

3555 Loma Vista Rd
Ste 110
Ventura, CA 93003
Phone (805) 653-0303

Interoperability endpoints

  • Direct secure messaging: marynelson@ovfmg.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1285846220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PIRIE RD",
            "address_2": "STE D",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233166",
            "telephone_number": "805-649-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PIRIE RD",
            "address_2": "SUITE D",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233166",
            "telephone_number": "805-646-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARY",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "449374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

Verify at the official NPI Registry.