Individual provider Active NPI

Camelia Valentina Nelson, NP

  • Adult Health Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1720385479
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4309 Issued in SC
Practice address
3700 Park East Dr Ste 450
Beachwood, OH 44122-4318
Phone
(866) 849-0692
NPI assigned
Feb 15, 2011
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP032699 PA
Adult Health Nurse Practitioner 363LA2200X 341726 AZ
Adult Health Nurse Practitioner 363LA2200X 71016790A IN
Adult Health Nurse Practitioner 363LA2200X 1231030 TX
Adult Health Nurse Practitioner 363LA2200X H190625 IA
Adult Health Nurse Practitioner 363LA2200X 13740 OH
Adult Health Nurse Practitioner 363LA2200X 236909 AR
Adult Health Nurse Practitioner 363LA2200X APRN11045418 FL
Adult Health Nurse Practitioner 363LA2200X 0024193470 VA
Adult Health Nurse Practitioner 363LA2200X 4309 SC Primary
Adult Health Nurse Practitioner 363LA2200X 2026018312 MO
Adult Health Nurse Practitioner 363LA2200X 41875 TN
Adult Health Nurse Practitioner 363LA2200X GAA-NP005211 GA
Adult Health Nurse Practitioner 363LA2200X 14280304-4405 UT
Adult Health Nurse Practitioner 363LA2200X 4054450 KY

Addresses

Primary practice location

3700 Park East Dr Ste 450
Beachwood, OH 44122-4318

Mailing address

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 439-3600

Other identifiers 1

IdentifierTypeStateIssuer
NP1798MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cnelson515559@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA, VA, WV, DC, IN, MD7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20121029000205 OH Practitioner - Nurse Practitioner 5991976573 Reassigns benefits to 4 organizations
I20250430001699 PA Practitioner - Nurse Practitioner 5991976573 Reassigns benefits to 1 organization
I20250515000642 VA Practitioner - Nurse Practitioner 5991976573 Reassigns benefits to 1 organization
I20250622000094 WV Practitioner - Nurse Practitioner 5991976573
I20250703000354 DC Practitioner - Nurse Practitioner 5991976573 Reassigns benefits to 1 organization
I20250716003086 IN Practitioner - Nurse Practitioner 5991976573 Reassigns benefits to 1 organization
I20250804000435 MD Practitioner - Nurse Practitioner 5991976573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Rochester School of Medicine and Dentistry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians

Practice addresses (Care Compare)

105 Time SQ
Salisbury, MD 21801-2808
Phone (410) 749-2474

1209 Indiana Ave
Saint Marys, OH 45885-1310
Phone (419) 394-7611

135 Reichart Ave
Wintersville, OH 43953-4050
Phone (740) 264-1155

1390 King Tree Dr
Dayton, OH 45405-1401
Phone (937) 278-0723

155 Heritage Woods Dr
Copley, OH 44321-1398
Phone (330) 666-0980

1717 Skyline Dr
Pittsburgh, PA 15227-1744
Phone (412) 885-8400

18840 Falling Water Rd
Strongsville, OH 44136-4200
Phone (440) 238-1100

2025 Wyoming Ave
Cincinnati, OH 45205-1112
Phone (513) 251-2557

2125 Royce St
Portsmouth, OH 45662-4714
Phone (740) 354-6635

2222 Springdale Rd
Cincinnati, OH 45231-1805
Phone (513) 851-7888

225 W Main St
Shelby, OH 44875-1412
Phone (419) 347-1266

2299 S Yellow Springs St
Springfield, OH 45506-3368
Phone (937) 322-3436

250 Continental Dr
Salem, OH 44460-2508
Phone (330) 337-9503

250 Flank Rd
Petersburg, VA 23805-9117
Phone (804) 861-2223

2511 Bentley Dr
Salem, OH 44460-2503
Phone (330) 337-9503

2615 Derr Rd
Springfield, OH 45503-2445
Phone (937) 390-0005

3 Merit Dr
Richmond Heights, OH 44143-1457
Phone (216) 261-9600

3015 17TH St NW
Canton, OH 44708-6004
Phone (330) 454-6508

315 Lilienthal St
Cincinnati, OH 45204-1170
Phone (513) 471-8667

3364 Kolbe Rd
Lorain, OH 44053-1628
Phone (440) 282-2244

3800 Summit Glen Dr
Dayton, OH 45449-3647
Phone (937) 436-2273

3875 E Galbraith Rd
Cincinnati, OH 45236-1514
Phone (513) 793-5222

3889 E Galbraith Rd
Cincinnati, OH 45236-1514
Phone (513) 793-5222

435 Avis Ave NW
Massillon, OH 44646-3555
Phone (330) 837-1741

5226 E 82ND St
Allison Pointe Healthcare Center
Indianapolis, IN 46250-1628
Phone (317) 842-6668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4309SCMDPhysical Therapy Assistant
236909ARMDAdult Health Nurse Practitioner
APRN11045418FLMDAdult Health Nurse Practitioner
GAA-NP005211GAMDAdult Health Nurse Practitioner
H190625IAMDAdult Health Nurse Practitioner
4054450KYMDAdult Health Nurse Practitioner
2026018312MOMDAdult Health Nurse Practitioner
13740OHMDAdult Health Nurse Practitioner
SP032699PAMDAdult Health Nurse Practitioner
41875TNMDAdult Health Nurse Practitioner
1231030TXMDAdult Health Nurse Practitioner
14280304-4405UTMDAdult Health Nurse Practitioner
0024193470VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical Group Inc CurrentSince Jul 17, 2026 Accepting new patients
Pure Healthcare LLC CurrentSince Mar 16, 2020 Accepting new patients
Illumia Health LLC CurrentSince Nov 11, 2024 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Illumia Health LLC CurrentSince Nov 11, 2024 Accepting new patients
Post Acute Telehealth PC CurrentSince Feb 13, 2025 Accepting new patients

Locations (25 of 26)

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

1234 Washington Rd
Westminster, MD 21157
Phone (410) 848-0700

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

4040 Embassy Pkwy
Ste 410
Akron, OH 44333
Phone (330) 576-5405

3700 Park East Dr
Ste 450
Beachwood, OH 44122
Phone (216) 255-5751

625 Probasco St
Cincinnati, OH 45220
Phone (513) 281-0745

2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873

7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

3533 Southern Blvd
Ste 5800
Kettering, OH 45429
Phone (937) 439-3600

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

4000 Miamisburg Centerville Rd
Ste 450
Miamisburg, OH 45342
Phone (937) 439-3600

4000 Miamisburg Centerville Rd
Ste 405
Miamisburg, OH 45342
Phone (937) 439-3600

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791

905 Tower Rd
Bristol, PA 19007
Phone (215) 785-2109

1717 Skyline Dr
Pittsburgh, PA 15227
Phone (412) 881-6168

6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000

250 Flank Rd
Petersburg, VA 23805
Phone (804) 861-2223

287 E South Blvd
Petersburg, VA 23805
Phone (804) 562-6618

100 Heartland Dr
Beckley, WV 25801
Phone (304) 256-1650

183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1720385479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MIAMISBURG CENTERVILLE RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453427615",
            "telephone_number": "937-439-3600",
            "fax_number": "937-439-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PARK EAST DR STE 450",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224318",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CAMELIA",
        "middle_name": "VALENTINA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
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            "primary": false
        },
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        },
        {
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            "taxonomy_group": "",
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            "state": "IN",
            "license": "71016790A",
            "primary": false
        },
        {
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            "taxonomy_group": "",
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            "state": "TX",
            "license": "1231030",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
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            "state": "IA",
            "license": "H190625",
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            "taxonomy_group": "",
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        },
        {
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            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "236909",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11045418",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024193470",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
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            "license": "4309",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2026018312",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "41875",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "GAA-NP005211",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "14280304-4405",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "4054450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1798",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnelson515559@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3535 Southern Blvd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3535 Southern Blvd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.