Phyllis Adolphus Nelson, PMHNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704184714 Issued in MI

Practice address

3281 Coolidge Hwy
Berkley, MI 48072-1633

Phone

(313) 915-9138

Fax

(313) 216-2776

NPI assigned

Sep 29, 2019

Sex

Female

Sole proprietor

No

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 MI

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Life Alternatives LLCGroup PAC ID 7810386976, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• New Life Alternatives LLC

  • Multi-Specialty Clinic/Center
  • Berkley, MI
  • NPI 1033759659
  Medicare reassignment Care Compare group NPD
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  NPD
• Henry Ford Southeast Michigan Community Health

  • Health Educator
  • Auburn Hills, MI
  • NPI 1902513302
  NPD

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1679114805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 ORLEANS ST",
            "address_2": "APT 632",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072754",
            "telephone_number": "248-907-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721633",
            "telephone_number": "313-915-9138",
            "fax_number": "313-216-2776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2251 N Squirrel Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "483264610",
            "country_code": "US",
            "telephone_number": "248-907-4970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "PHYLLIS",
        "middle_name": "ADOLPHUS",
        "credential": "PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704184714",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704184714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nac Medical PLLC
• Melinda Rita Nafal
• Sapna Nagar, M.D.
• Katherine Taleen Najarian-Braun, PA
• Lindsay Marie Natzel, LMSW
• Nephrology Consultants, PC
• Neuromuscular Dental Professionals
• Neuromuscular Dental Professionals
• New Life Alternatives LLC
• Shane Norman Newberger, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Berkley, MI
• Providers in Berkley, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.