Individual provider Active NPI

Nan E Nelson, MD

  • Psychiatry Physician
  • Solon, OH
National Provider Identifier
1396816625
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35061313 Issued in OH
Practice address
32145 Sedgefield Oval
Solon, OH 44139-4756
Phone
(330) 557-0586
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35061313 OH Primary
Hospitalist Physician 208M00000X 35.061313 OH

Addresses

Primary practice location

32145 Sedgefield Oval
Solon, OH 44139-4756

Mailing address

32145 Sedgefield Oval
Solon, OH 44139-4756
Phone (330) 557-0586

Other identifiers 1

IdentifierTypeStateIssuer
0972890MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071212000196 OH Practitioner - Psychiatry 3577653708 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindfully Psychiatry LLCGroup PAC ID 3870961162, 17 clinicians

Practice addresses (Care Compare)

1251 Nilles Rd
Suite 5
Fairfield, OH 45014-7205
Phone (844) 533-0315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35061313OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Psychiatry CurrentSince Nov 9, 2015 Accepting new patients
North Coast Mental Health Associates Inc. CurrentSince Jun 1, 2023 Accepting new patients
Signature Health, Inc CurrentSince Apr 22, 2013 Accepting new patients
Signature Health, Inc. Current Accepting new patients
Blanchard Valley Regional Health Center Psychiatry CurrentSince Aug 1, 2016 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Aug 1, 2016 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Nov 9, 2015 Accepting new patients
Blanchard Valley Regional Health Center Psychiatry Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Aug 16, 2016 Accepting new patients
Mindfully Psychiatry LLC Psychiatry CurrentSince Mar 31, 2025 Accepting new patients
Holding Space LLC Psychiatry CurrentSince Jul 15, 2023 Accepting new patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
Signature Health Inc CurrentSince Apr 22, 2013 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Aug 16, 2016 Accepting new patients
B. Sharif MD, Inc Psychiatry Past Accepting new patients
Premier Behavioral Health Services, LLC Psychiatry PastSince Dec 18, 2008 Accepting new patients

Locations

24200 Chagrin Blvd
Beachwood, OH 44122

3690 Orange Pl
Ste 430
Beachwood, OH 44122
Phone (216) 464-5330

8927 Brecksville Rd
Brecksville, OH 44141
Phone (440) 310-6361

463 Ohio Pike
Ste 102B
Cincinnati, OH 45255
Phone (888) 262-3616

4600 Beechwood Rd
Ste 700
Cincinnati, OH 45244

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

5050 Blazer Pkwy
Ste 101
Dublin, OH 43017
Phone (614) 451-7346

1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

165 W Center St
Ste 400
Marion, OH 43302
Phone (740) 382-3874

3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

10547 Montgomery Rd
Ste 700
Montgomery, OH 45242
Phone (513) 393-0300

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

11565 Pearl Rd
Ste 200
Strongsville, OH 44136
Phone (440) 846-0862

5900 W Chester Rd
Ste C
West Chester, OH 45069
Phone (513) 777-2428

24481 Detroit Rd
Ste 201
Westlake, OH 44145
Phone (440) 310-6361

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1396816625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32145 SEDGEFIELD OVAL",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441394756",
            "telephone_number": "330-557-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32145 SEDGEFIELD OVAL",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441394756",
            "telephone_number": "330-557-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NAN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35061313",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.061313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0972890",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.