Active NPI
Gena Nelson, RN, MSN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Greenville, TX
National Provider Identifier
1588790810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP115347
- Practice address
- 4511 Stonewall St
Greenville, TX 75401-5951 - Phone
- (903) 454-7200
- Fax
- (903) 454-7204
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 688735 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP115347 | TX | Primary |
Addresses
Primary practice location
4511 Stonewall St
Greenville, TX 75401-5951
Mailing address
4511 Stonewall St
Greenville, TX 75401-5951
Phone (903) 454-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 688735 | Other | TX | STATE LICENSES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4511 Stonewall St
Greenville, TX 75401-5951
Phone (903) 454-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 688735 | TX | MD | Psychiatric/Mental Health Registered Nurse |
| AP115347 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gena Nelson RN, MSN, Pmhnp-BC PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Joel a. Holiner, MD PA | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
4511 Stonewall St
Greenville, TX 75401
Phone (903) 454-7200
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Greenville, TX
- NPI 1487912887
-
dba Holiner Psychiatric Group
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1346259645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1588790810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 STONEWALL ST",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754015951",
"telephone_number": "903-454-7200",
"fax_number": "903-454-7204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4511 STONEWALL ST",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754015951",
"telephone_number": "903-454-7200",
"fax_number": "903-454-7204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "GENA",
"credential": "RN, MSN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "TX",
"license": "688735",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP115347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSES",
"identifier": "688735",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.