Danae Nelson, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

009185 Issued in AZ

Practice address

15264 W Brookside LN Ste 155
Surprise, AZ 85374-3997

Phone

(623) 877-7337

Fax

(623) 772-0686

NPI assigned

Apr 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Banner Estrella Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1275566200
  NPD (past)
• Desert Valley Pediatrics

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1336354984
  NPD (past)
• Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1477742807
  NPD (past)
• SSM Medical Group Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fenton, MO
  • NPI 1124579966
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1669979621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 N 108TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375459",
            "telephone_number": "623-877-7337",
            "fax_number": "623-772-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15264 W BROOKSIDE LN STE 155",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743997",
            "telephone_number": "623-877-7337",
            "fax_number": "623-772-0686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 S. Grand Blvd.",
            "address_2": "Room 2717",
            "address_purpose": "LOCATION",
            "city": "St. Louis",
            "state": "MO",
            "postal_code": "631041003",
            "country_code": "US",
            "telephone_number": "314-268-4070",
            "fax_number": "314-268-4019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DANAE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "009185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Nazario, A.P.R.N.
• Alyssa Neel Torres
• Neena K Uppal MD PC
• Erin Neidert, M,A,, EDS
• Karina Neiger
• Nestled Care
• Christine Netser
• Emily A Neumann, MSN, FNP-BC
• Courtney Nevitt
• Charissa Anne Newberry, LMSW

• Pediatrics Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.