Beverly Davis Nelson, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP1079272 Issued in FL

Practice address

8953 Spring Harvest LN W
Jacksonville, FL 32244-7447

Phone

(904) 254-2632

Fax

(904) 254-2632

NPI assigned

Jun 12, 2017

Last updated

Oct 6, 2017By the provider in NPPES

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 FL

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anil George MD PAGroup PAC ID 8628096195, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEBAAA

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.

• Anil George MD PA

  dba North Florida Integrative Medicine

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1548326242
  Medicare reassignment Care Compare group NPD
• Acv Community Services LLC

  • Rural Health Clinic/Center
  • Live Oak, FL
  • NPI 1174630693
  Medicare reassignment NPD

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1730619891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8953 SPRING HARVEST LN W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447447",
            "telephone_number": "904-254-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8953 SPRING HARVEST LN W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447447",
            "telephone_number": "904-254-2632",
            "fax_number": "904-254-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BEVERLY",
        "middle_name": "DAVIS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "ARNP1079272",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1079272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evonne Nelson-Smith, LPC
• Allie Nelson, CRNA
• Amy Marie Nelson, LMHC
• Angela Nelson
• Ashley N Nelson, RN, FNC
• Britanny Suzanne Nelson
• Christina Nelson, LMT
• Christina Nelson, RDH
• Christopher Daniel Nelson, CAA
• Chrystal Elizabeth Nelson

• Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.