Individual provider Active NPI

Jennifer Nelsen, AGACNP

  • Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1346786019
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95005804 Issued in CA
Practice address
36650 Road 112
Visalia, CA 93291-9517
Phone
(559) 735-1319
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95005804 CA Primary

Addresses

Primary practice location

36650 Road 112
Visalia, CA 93291-9517

Mailing address

2305 W Robin Ave
Visalia, CA 93291-8069
Phone (559) 799-5598

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
I20170517001524 CA Practitioner - Nurse Practitioner 3274800529 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rapid Care Center of Visalia IncGroup PAC ID 1052777240, 4 clinicians
Orthopaedic Assoc Medical Clinic IncGroup PAC ID 2769395375, 10 clinicians

Practice addresses (Care Compare)

5127 W Noble Ave
Visalia, CA 93277-8354
Phone (559) 303-6299

820 S Akers St
Suite 220
Visalia, CA 93277-8307
Phone (559) 733-3346

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Assoc Medical Clinic, Inc. CurrentSince Mar 31, 2024 Accepting new patients
J&P Spine Center Inc CurrentSince Jun 10, 2021 Accepting new patients
Kaweah Delta Health Care District CurrentSince Apr 5, 2017 Accepting new patients
Rapid Care Center of Visalia Inc Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Kaweah Delta Health Care District CurrentSince Apr 5, 2017 Accepting new patients
J&P Spine Center Inc. CurrentSince Jun 10, 2021 Accepting new patients
Advanced Care Medical Group Inc CurrentSince Nov 15, 2017 Accepting new patients
Seth Criner, D.O., M.S., Inc. Past Accepting new patients

Locations

6079 N Fresno St
Ste 101
Fresno, CA 93710
Phone (553) 538-3145

820 S Akers St
Ste 220
Visalia, CA 93277
Phone (559) 625-0551

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

3130 W Caldwell Ave
Visalia, CA 93277
Phone (559) 635-7800

5127 W Noble Ave
Visalia, CA 93277
Phone (559) 303-6299

1633 S Court St
Visalia, CA 93277
Phone (559) 624-6090

Interoperability endpoints

  • Direct secure messaging: jennifer.nelsen@484006664142852.direct.elationemr.com

Organizations & group practices 8

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.

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": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1346786019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 W ROBIN AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918069",
            "telephone_number": "559-799-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36650 ROAD 112",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919517",
            "telephone_number": "559-735-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "JENNIFER",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.