Merrilyn E Nelson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS 14253 Issued in FL

Practice address

625 W Baldwin Rd
Panama City, FL 32405-3333

Phone

(850) 769-6612

NPI assigned

Jul 12, 2007

Last updated

Jan 23, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnelson516230@direct.sentara.net

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.

• Nation's Best Family Health Care PLLC

  • Family Medicine Physician
  • Panama City, FL
  • NPI 1699067942
  Medicare reassignment NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment NPD
• Econfina Cardiology Group, PA

  dba Cardiovascular Institute of Northwest Florida

  • Cardiovascular Disease Physician
  • Panama City, FL
  • NPI 1609801257
  NPD (past)
• Marianna Radiology

  • Specialist
  • Marianna, FL
  • NPI 1346202124
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1356540124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053333",
            "telephone_number": "850-769-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053333",
            "telephone_number": "850-769-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MERRILYN",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "629",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 14253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neda Koehnemann PH D Inc
• Neighborhood Career Academy
• Anna Elizabeth Nelson, PTA
• Deatrice Nelson
• Elizabeth Dawn Nelson
• Paula Moon Nelson, PT
• Steven Nelson
• Nemours Children's Health, Panama City, Specialty Care
• Nephrology Associates PA
• Jan Lewis Netherland, C.R.N.A.

• Family Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.