Individual provider Active NPI

Janice Nelson

  • Psychiatric/Mental Health Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1497455265
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404688 Issued in NY
Practice address
8883 Van Wyck Expy
Jamaica, NY 11435-4144
Phone
(718) 657-8010
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404688 NY Primary

Addresses

Primary practice location

8883 Van Wyck Expy
Jamaica, NY 11435-4144

Mailing address

1127 Royal Palm Beach Blvd # 292
Royal Palm Beach, FL 33411-1641
Phone (770) 876-1472

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
I20231010000903 NY Practitioner - Nurse Practitioner 2567817646 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valera Medical PCGroup PAC ID 0547690521, 160 clinicians

Practice addresses (Care Compare)

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F404688NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Medical Services of New York, PLLC CurrentSince Aug 28, 2023 Accepting new patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Apr 28, 2025 Accepting new patients
Samaritan Daytop Village, Inc. CurrentSince Feb 13, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince Aug 28, 2023 Accepting new patients
Samaritan Daytop Village, Inc. CurrentSince Feb 13, 2024 Accepting new patients
Samaritan Daytop Village, Inc. Current Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 28, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 28, 2023 Accepting new patients
Samaritan Daytop Village PastSince Jun 25, 2023 Accepting new patients

Locations

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

250 Grand Concourse
Bronx, NY 10451
Phone (718) 292-2240

134 N 4th St
Brooklyn, NY 11249

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

13802 Queens Blvd
Jamaica, NY 11435
Phone (718) 298-5100

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1497455265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 ROYAL PALM BEACH BLVD # 292",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111641",
            "telephone_number": "770-876-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8883 VAN WYCK EXPY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354144",
            "telephone_number": "718-657-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JANICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.