Jadyn Nelson

Primary specialty

OptometristTaxonomy code 152W00000X

License

804 Issued in ND

Practice address

1820 S 42ND St
Grand Forks, ND 58201-5712

Phone

(701) 775-3151

NPI assigned

Jun 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Dakota Eye Clinic LTDGroup PAC ID 0648262808, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jnelson@ndec.intellechartdirect.net

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.

• North Dakota Eye Clinic, LTD

  • Specialist
  • Grand Forks, ND
  • NPI 1972563815
  Medicare reassignment Care Compare group NPD
• North Dakota Eye Clinic, LTD

  • Eyewear Supplier
  • Grand Forks, ND
  • NPI 1023168663

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1538853775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 RUEMMELE RD APT 105",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016436",
            "telephone_number": "182-309-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S 42ND ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015712",
            "telephone_number": "701-775-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JADYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asad Nazir, MD
• Kimberly R Neely, AGACNP-BC
• Lisa Marie Nelson-Beauchamp, RN
• Danielle Nelson-Deering, MOTR/L
• Emily K Nelson
• Jakob Nelson, LMSW
• Jessica Nelson
• Kari Kristyn Nelson, RPH
• Kayla Rose Nelson, D. D. S.
• Lucas James Nelson, LICSW

• Optometrist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.
• 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.