Amber Nelson, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP014528 Issued in PA

Practice address

3328 Morrell Ave
Philadelphia, PA 19114-1222

Phone

(215) 632-1030

NPI assigned

Nov 23, 2014

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 PA, NJ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Meditelecare of Pennsylvania LLC

  • Clinical Psychologist
  • Harrisburg, PA
  • NPI 1396351847
  Medicare reassignment NPD
• Suburban Medical Group LLC

  • Family Medicine Physician
  • East Norriton, PA
  • NPI 1710355029
  Medicare reassignment NPD
• Hoperestoredmd LLC

  • Psychiatry Physician
  • Princeton, NJ
  • NPI 1790500775
  Medicare reassignment NPD
• Your Mood Matters LLC

  • Nurse Practitioner
  • Philadelphia, PA
  • NPI 1639954076
  NPD Authorized official
• The TMS Center of New Jersey PC

  • Psychiatry Physician
  • Tinton Falls, NJ
  • NPI 1346725330
  NPD

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

{
    "created_epoch": "1416700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1467859249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BUTLER PIKE UNIT 170",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281202",
            "telephone_number": "484-381-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 MORRELL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141222",
            "telephone_number": "215-632-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AMBER",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-23",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP014528",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhargava Krishna Nelluri
• Nelnutrition LLC
• Nelson Medical Group
• Patrice Nelson-Bachmann, CRNP
• Kimberly Nelson-Thomas, LCSW
• Autumn Nelson
• Bianca Nelson
• Caroline Nelson, CRNP
• Cassandre Nelson, M.S.
• Charles L Nelson, MD

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.