Ariale Marie Nelson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903823 Issued in MS

Practice address

2255 Broadway Dr
Hattiesburg, MS 39402-3254

Phone

(601) 288-2273

NPI assigned

Feb 26, 2020

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Covington County Hospital

  dba CCH Clinic Seminary

  • Rural Health Clinic/Center
  • Seminary, MS
  • NPI 1134435498
  Medicare reassignment NPD
• Covington County Hospital

  dba Green Tree Family Medical Clinic

  • Rural Health Clinic/Center
  • Mount Olive, MS
  • NPI 1336447861
  Medicare reassignment NPD
• Covington County Hospital

  dba Family Care of Main Street

  • Rural Health Clinic/Center
  • Collins, MS
  • NPI 1518260330
  Medicare reassignment NPD
• Covington County Hospital

  dba CCH Clinic Family Medical

  • Rural Health Clinic/Center
  • Collins, MS
  • NPI 1598769044
  Medicare reassignment NPD
• Covington County Hospital

  dba Medical Center of Magee

  • Rural Health Clinic/Center
  • Magee, MS
  • NPI 1750895611
  Medicare reassignment NPD
• Covington County Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Collins, MS
  • NPI 1780706994
  NPD
• Green Tree Family Medical Clinic

  • Rural Health Clinic/Center
  • Mount Olive, MS
  • NPI 1770741191
  NPD
• Thomas R. Blackledge, Jr., MD, PA

  • Family Medicine Physician
  • Magee, MS
  • NPI 1376861757
  NPD

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1790319945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WESTBROOK ESTATES DR",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "394825048",
            "telephone_number": "601-408-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 BROADWAY DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023254",
            "telephone_number": "601-288-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ARIALE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Kyle Neely, DMD
• Lewis W Neese, MD
• Neighborhood Healthcare Providers
• Neighborhood Healthcare Providers (Parkway Medical Group Inc)
• Alice L Nelson, CMHT
• Heidi D Nelson, LPC
• Kiper Cecil Nelson, M.D.
• Labrea Shavon Nelson, LCSW
• Hora Nemati Rezvani, MD
• Ujwal Reddy Neravetla, MD

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.