Individual provider Active NPI

Kevin Gregrory Nelson, FNP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1316023385
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF8183 Issued in CA
Practice address
8327 Brimhall Rd Ste 704
Bakersfield, CA 93312-2250
Phone
(661) 829-7677
Fax
(661) 679-6920
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 NPF8183 CA Primary

Addresses

Primary practice location

8327 Brimhall Rd Ste 704
Bakersfield, CA 93312-2250

Mailing address

8327 Brimhall Rd Ste 704
Bakersfield, CA 93312-2250
Phone (661) 829-7677

Other identifiers 2

IdentifierTypeStateIssuer
RN336575OtherCARN LIC#
PA13727OtherCAPHYSICIAN ASST LIC. #

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
I20151029000569 CA Practitioner - Nurse Practitioner 2769791920 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF8183CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa West Medical Inc CurrentSince Aug 18, 2015 Accepting new patients

Locations

8327 Brimhall Rd
Ste 704
Bakersfield, CA 93312
Phone (661) 617-6750

500 Old River Rd
Ste 104
Bakersfield, CA 93311
Phone (661) 617-6750

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316023385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8327 BRIMHALL RD STE 704",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122250",
            "telephone_number": "661-829-7677",
            "fax_number": "661-679-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8327 BRIMHALL RD STE 704",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122250",
            "telephone_number": "661-829-7677",
            "fax_number": "661-679-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KEVIN",
        "middle_name": "GREGRORY",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF8183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LIC#",
            "identifier": "RN336575",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASST LIC. #",
            "identifier": "PA13727",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.