Jason D Nelson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

202992 Issued in LA

Practice address

2400 Hospital Dr
Suite 130
Bossier City, LA 71111-2385

Phone

(318) 212-7990

Fax

(318) 212-7995

NPI assigned

May 25, 2007

Last updated

Jan 20, 2012By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WK Pierremont HospitalistsGroup PAC ID 4082669015, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Mansfield, LA, CCN 197161
• Elara Caring Home health agency, Bossier City, LA, CCN 197226
• HME HLTH Dept Willis Knighton Home health agency, Shreveport, LA, CCN 197056
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• Cornerstone Post Acute Care of Bossier Long-term care hospital, Bossier City, LA, CCN 192006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• WK Pierremont Hospitalists

  • Hospitalist Physician
  • Shreveport, LA
  • NPI 1326074832
  Medicare reassignment Care Compare group NPD
• Nelson & Nelson Apmc

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1396073409
  Medicare reassignment Authorized official
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cornerstone Post Acute Care of Bossier LLC

  dba Cornerstone Post Acute Care of Bossier

  • Long Term Care Hospital
  • Bossier City, LA
  • NPI 1982418646

  Long-term care hospital

  Care Compare affiliation
• Health Care Visions III, Inc.

  dba Elara Caring

  • Home Health Agency
  • Bossier City, LA
  • NPI 1053485961
  Care Compare affiliation
• Louisiana Home Healthcare Partners, LLC

  dba Elara Caring

  • Home Health Agency
  • Mansfield, LA
  • NPI 1417981853
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Bossier Health Center

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba Willis Knighton South Hospital

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Pierremont Health Center

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba Home Health Departmant Willis Knighton Hospital Inc

  • Home Health Agency
  • Shreveport, LA
  • NPI 1326093782
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1700097235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "SUITE 130",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-212-7990",
            "fax_number": "318-212-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "SUITE 130",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-212-7990",
            "fax_number": "318-212-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JASON",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "202992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07858",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1078581",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wally R Nawas, MD
• Nealan D Prather MD and Willis-Knighton Medical Center
• Nelson Nunez DMD LLC
• Ashlea Nelson, MCD, CCC-SLP
• Davonte Nelson
• Kenya Nelson
• Thomas Nelson
• Aundrea Neufeld
• Neurology Clinic, LLC
• New Awakenings, LLC

• Internal Medicine Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.