Individual provider Active NPI

Claudette Nelson

  • Primary Care Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1457911059
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F310834-01 Issued in NY
Practice address
75 S Broadway
White Plains, NY 10601-4413
Phone
(914) 293-5001
NPI assigned
Jun 17, 2019
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ01337000 NJ
Primary Care Nurse Practitioner 363LP2300X F310834-01 NY Primary

Addresses

Primary practice location

75 S Broadway
White Plains, NY 10601-4413

Mailing address

181 Old Pascack Rd
Pearl River, NY 10965-1551
Phone (646) 363-0542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20221128001290 NY Practitioner - Nurse Practitioner 4284002189 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Telehealth LLCGroup PAC ID 6608156906, 43 clinicians
Kings County House Calls NP in Family Health PLLCGroup PAC ID 3971844606, 35 clinicians

Practice addresses (Care Compare)

150 Sunnyside Blvd
Plainview, NY 11803-1504
Phone (888) 982-8594

3709 Flatlands Ave
Brooklyn, NY 11234-3507
Phone (646) 535-1545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
310834NYMDFamily Medicine Physician
26NJ01337000NJMDPrimary Care Nurse Practitioner
F310834-01NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Py Medical PLLC CurrentSince Aug 1, 2024 Accepting new patients
American Telehealth, LLC CurrentSince Jun 2, 2025 Accepting new patients
Mount Vernon Neighborhood Health Center Inc CurrentSince Oct 1, 2022 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Jul 1, 2023 Accepting new patients
Mount Vernon Neighborhood Health Center, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Kings County House Calls NP in Family Health PLLC CurrentSince Oct 5, 2025 Accepting new patients

Locations

2720 Surf Ave
Brooklyn, NY 11224
Phone (718) 230-4844

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

3709 Flatlands Ave
Brooklyn, NY 11234
Phone (646) 535-1545

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

200 Broadhollow Rd
Ste 207
Melville, NY 11747
Phone (516) 906-4970

10 Claremont Ave
Mount Vernon, NY 10550
Phone (718) 459-0700

107 W 4th St
Mount Vernon, NY 10550
Phone (914) 699-0235

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

150 Sunnyside Blvd
Plainview, NY 11803
Phone (516) 576-3330

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1457911059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 OLD PASCACK RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651551",
            "telephone_number": "646-363-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S BROADWAY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014413",
            "telephone_number": "914-293-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CLAUDETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01337000",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F310834-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.