Jordan Robert Nelson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0035730 Issued in OH

Practice address

3569 Ridge Rd
Cleveland, OH 44102-5443

Phone

(216) 281-0872

NPI assigned

Nov 10, 2023

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

Medicare fee-for-service enrollment

Enrolled in OH

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Health Care IncorporatedGroup PAC ID 2668466012, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jnelson617269@direct.ochin.org

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.

• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1720135304
  Medicare reassignment Care Compare group NPD
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1326462219
  NPD
• Neighborhood Health Care Incorporated

  • Pharmacy
  • Cleveland, OH
  • NPI 1427847854
  NPD
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1952568586
  NPD
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1265702351
  NPD (past)
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Lakewood, OH
  • NPI 1265902324
  NPD (past)
• Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1295786267
  NPD (past)
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1568014173
  NPD (past)
• Neighborhood Health Care Incorporated

  • Clinic/Center
  • Cleveland, OH
  • NPI 1730563891
  NPD (past)

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1720852650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JORDAN",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-10",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.478554",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Nelson, CNP
• Erica Latrease Nelson
• Gisell Nelson
• Halle Crista Nelson
• Jeffrey Tait Nelson, M.D.
• Jovitha Nelson, MD
• Kindel A Nelson, LPC
• Mallory Joy Nelson, MSN, BSN, RN, APRN
• Marchaye Nelson
• Rebecca Chota Nelson

• Family Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.