Active NPI
Rosela Nielsen
- Nurse Practitioner
- Palm Springs, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95016606
- Practice address
- 1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872 - Phone
- (760) 774-2160
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95016606 | CA | Primary |
Addresses
Primary practice location
1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Mailing address
64033 Olympic Mountain Ave
Desert Hot Springs, CA 92240-7706
Phone (760) 774-2160
Other practice location 1
64033 Olympic Mountain Ave
Desert Hot Springs, CA 92240-7706
Phone (760) 774-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Physicians Practice LLC | Current | Accepting new patients | |
| Athens Physicians Practice LLC | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Athens Physicians Practice, LLC | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Athens Physicians Practice LLC | Past | Accepting new patients |
Locations
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
719 Cook Dr
Ste 104
Athens, TN 37303
Phone (423) 745-9770
800 S White St
Ste 4
Athens, TN 37303
Phone (423) 453-5085
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
8904 Hiwassee St NE
Charleston, TN 37310
Phone (423) 810-0031
872 Highway 411 N
Unit G
Etowah, TN 37331
Phone (423) 744-7585
Interoperability endpoints
- rosela.nielsen.1@19363.direct.athenahealth.com
- rnielsen368692@direct.llu.edu
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 and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Orthopaedic Surgery Physician
- Athens, TN
- NPI 1689055774
-
- Internal Medicine Physician
- Loma Linda, CA
- NPI 1366492399
-
- Rural Health Clinic/Center
- Etowah, TN
- NPI 1508627175
-
- Rural Health Clinic/Center
- Athens, TN
- NPI 1629097738
-
- Family Medicine Physician
- Athens, TN
- NPI 1073532123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1497348726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64033 OLYMPIC MOUNTAIN AVE",
"city": "DESERT HOT SPRINGS",
"state": "CA",
"postal_code": "922407706",
"telephone_number": "760-774-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N INDIAN CANYON DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624872",
"telephone_number": "760-774-2160"
}
],
"practiceLocations": [
{
"address_1": "64033 Olympic Mountain Ave",
"address_purpose": "LOCATION",
"city": "Desert Hot Springs",
"state": "CA",
"postal_code": "922407706",
"country_code": "US",
"telephone_number": "760-774-2160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIELSEN",
"first_name": "ROSELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95016606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.