Individual provider Active NPI

Mariana Nelson, FNP-C

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1578175097
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015104 Issued in CA
Practice address
8307 Brimhall Rd Ste 1702
Bakersfield, CA 93312-4343
Phone
(661) 443-0088
Fax
(661) 443-0087
NPI assigned
Aug 17, 2020
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015104 CA Primary

Addresses

Primary practice location

8307 Brimhall Rd Ste 1702
Bakersfield, CA 93312-4343

Mailing address

8307 Brimhall Rd Ste 1702
Bakersfield, CA 93312-4343
Phone (661) 443-0088

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200911000603 CA Practitioner - Nurse Practitioner 2365860129 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
California Cardiovascular Institute CurrentSince Aug 26, 2023 Accepting new patients

Locations

8307 Brimhall Rd
Ste 1702
Bakersfield, CA 93312
Phone (661) 432-7851

8337 Brimhall Rd
Bldg 1200
Bakersfield, CA 93312
Phone (661) 443-0088

20211 W Valley Blvd
Tehachapi, CA 93561
Phone (661) 443-0088

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDFJCD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1578175097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 BRIMHALL RD STE 1702",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933124343",
            "telephone_number": "661-443-0088",
            "fax_number": "661-443-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 BRIMHALL RD STE 1702",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933124343",
            "telephone_number": "661-443-0088",
            "fax_number": "661-443-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARIANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.