Individual provider Active NPI

Yvonne Sue Nelson, MD

  • Family Medicine Physician
  • Stamford, NY
National Provider Identifier
1790764603
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28675 Issued in NC
Practice address
28650 State Highway 23
Stamford, NY 12167-1712
Phone
(607) 652-2537
Fax
(607) 652-2719
NPI assigned
Jan 10, 2006
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28675 NC Primary
Occupational Medicine Physician 2083X0100X 28675 NC

Addresses

Primary practice location

28650 State Highway 23
Stamford, NY 12167-1712

Mailing address

28650 State Highway 23
Stamford, NY 12167-1712
Phone (607) 652-2537

Other practice location 1

1560 Freeway Dr Ste F
Reidsville, NC 27320-3248
Phone (336) 951-6180

Other identifiers 9

IdentifierTypeStateIssuer
8962117MedicaidNC
2787393OtherAETNA US HEALTHCARE
8962117OtherMEDICAID
080193481OtherRAILROAD MEDICARE
62117OtherBCBS
765229OtherAETNA HMO
0929764001OtherCIGNA
800214OtherPARTNERS MEDICARE
B5214OtherMEDCOST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address snelson390537@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20170911000169 NC Practitioner - Family Practice 6103987607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 832-1000

509 E N Elam Ave
FL 3
Greensboro, NC 27403-1118
Phone (336) 832-1970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28675NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Moses Cone Physician Services, Inc. Family Medicine CurrentSince Jul 23, 2017 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Apr 28, 2019 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jul 23, 2017 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Apr 28, 2019 Accepting new patients
Northeast Orthopedics PA Occupational Medicine Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1123 N Church St
Greensboro, NC 27401
Phone (336) 832-4400

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

1635 NC Highway 66 S
Ste 175
Kernersville, NC 27284
Phone (336) 993-6120

3940 Arrowhead Blvd
Ste 110
Mebane, NC 27302
Phone (919) 568-7300

1560 Freeway Dr
Ste F
Reidsville, NC 27320
Phone (336) 951-6180

621 S Main St
Ste 201
Reidsville, NC 27320
Phone (336) 342-6880

Interoperability endpoints

  • Direct secure messaging: snelson390537@direct.conehealth.com

Organizations & group practices 7

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1790764603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28650 STATE HIGHWAY 23",
            "city": "STAMFORD",
            "state": "NY",
            "postal_code": "121671712",
            "telephone_number": "607-652-2537",
            "fax_number": "607-652-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28650 STATE HIGHWAY 23",
            "city": "STAMFORD",
            "state": "NY",
            "postal_code": "121671712",
            "telephone_number": "607-652-2537",
            "fax_number": "607-652-2719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Freeway Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273203248",
            "country_code": "US",
            "telephone_number": "336-951-6180",
            "fax_number": "336-951-6188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "YVONNE",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "28675",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NC",
            "license": "28675",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8962117",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2787393",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "8962117",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080193481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62117",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "765229",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0929764001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "800214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B5214",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snelson390537@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1560 Freeway Dr Ste F",
            "city": "Reidsville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273203248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stamford, NY

Sources for this page

Verify at the official NPI Registry.