Active NPI
Kevin Gregrory Nelson, FNP
- Family Nurse Practitioner
- Bakersfield, CA
National Provider Identifier
1316023385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NPF8183
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN336575 | Other | CA | RN LIC# |
| PA13727 | Other | CA | PHYSICIAN 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPF8183 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesa West Medical Inc | Current | 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.
-
- Internal Medicine Physician
- Bakersfield, CA
- NPI 1821294596
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.