Lisa K Nelsen, MEDICAL DOCTOR

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

AO62910 Issued in CA

Practice address

151 N Sunrise Ave
Suite 1009
Roseville, CA 95661-2924

Phone

(916) 782-3792

Fax

(916) 781-6562

NPI assigned

Mar 9, 2006

Last updated

Feb 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Obstetrics/Gynecology

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lnelsen113961@hisp.ehr.sutterhealth.org

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.

• Lisa Kristine Nelsen, Medical Corporation

  • Specialist
  • Roseville, CA
  • NPI 1326253972
  Medicare reassignment Authorized official
• Associates in Womens Health Care

  • Obstetrics & Gynecology Physician
  • Roseville, CA
  • NPI 1366419491
  NPD (past)
• Roseville Urology, Inc.

  • Urology Physician
  • Roseville, CA
  • NPI 1871822072
  NPD (past)
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Valley Hospitals

  dba Sutter Roseville Medical Center

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1538137245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956780396",
            "telephone_number": "916-780-1107",
            "fax_number": "916-780-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "SUITE 1009",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612924",
            "telephone_number": "916-782-3792",
            "fax_number": "916-781-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "AO62910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A629100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil a Van Dyck, DPM, Podiatry Corporation
• Jennifer Neito, LMFT
• Stephanie Neiva, RN, NP
• Bahareh M Nejad, M.D.
• Sara Nekoueian
• Tania Nelson-Chrystal, DDS, MD
• Amy Elise Nelson, ASW
• Ashanti Marie Nelson
• Carolyn Marie Nelson, LMFT
• Darryl Jon Nelson, D.C.

• Obstetrics & Gynecology Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.