Michael Phillip Nelson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

409 New St
Fairport Harbor, OH 44077-5530

Phone

(440) 887-1100

NPI assigned

Jan 16, 2024

Last updated

Nov 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McIntyre Center Inc.

  • Community/Behavioral Health Agency
  • Parma, OH
  • NPI 1023453867
  NPD
• McIntyre Center Inc.

  • Family Medicine Physician
  • Parma, OH
  • NPI 1265326839
  NPD (past)

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1689435810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 NEW ST",
            "city": "FAIRPORT HARBOR",
            "state": "OH",
            "postal_code": "440775530",
            "telephone_number": "440-887-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 NEW ST",
            "city": "FAIRPORT HARBOR",
            "state": "OH",
            "postal_code": "440775530",
            "telephone_number": "440-887-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHAEL",
        "middle_name": "PHILLIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-16",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053456",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda Holbrooks, STNA
• Krystal Klingemier, LPCC
• Laura Lawrence
• Amanda Christine Lawson, LPN
• Bonnie Rae Lesko-Roberts, MPH, RD, LD
• Mary M Ratcliffe, LPN
• Antanete Respress
• Paul Trevon Rollins Jr.
• Rosalyn Angie Rubertino, RN
• Jennifer Wynne Stevenson, ED.S.

• Case Manager/Care Coordinator in Fairport Harbor, OH
• Providers in Fairport Harbor, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.