James Nelson, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001738 Issued in MI

Practice address

4845 Division Ave S
Wyoming, MI 49548-4498

Phone

(616) 531-3059

NPI assigned

Aug 22, 2006

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 MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• 76TH St Afc LLC

  • Adult Care Home Facility
  • Caledonia, MI
  • NPI 1366982159
  NPD (past)
• Grand Rapids Foot & Ankles PC

  • Podiatrist
  • Hastings, MI
  • NPI 1770540957
  NPD (past)
• Seventy Sixth Street Afc LLC

  • Respite Care
  • Caledonia, MI
  • NPI 1962773408
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1346356219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 WOODSIDE TRL NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042580",
            "telephone_number": "616-453-1835",
            "fax_number": "616-453-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 DIVISION AVE S",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495484498",
            "telephone_number": "616-531-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JAMES",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071580",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• National Dentex LLC
• Kathryn Nauta, MS, RD
• James Alberto Navarro
• Mark Joseph Nawara, EMT-PARAMEDIC
• Gregory R Neagos, M.D.
• Shellie Lynn Neuhaus, PHYSICAL THERAPY
• New River Counseling, PLLC
• New Vine Nutrition LLC
• Kelsey Newsome, LLBSW
• Dawn Ngoc Nguyen, PHARMD

• Podiatrist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.