Dolores A Nelson, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP03177 Issued in OH

Practice address

36001 Euclid Ave
Suite C-17
Willoughby, OH 44094-4643

Phone

(440) 946-4662

Fax

(440) 946-4084

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Main Street Medical Group, LLC

  • Internal Medicine Physician
  • Solon, OH
  • NPI 1063683662
  Medicare reassignment
• New Millennium Healthcare Inc.

  • Internal Medicine Physician
  • Mayfield HTS, OH
  • NPI 1891703237
  Medicare reassignment
• Alok Bhaiji, MD, Inc.

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1013046978
  NPD (past)
• Geriatric Nurse Practitioners, Inc.

  • Nurse Practitioner
  • Akron, OH
  • NPI 1427008200
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272067200000",
    "number": "1801849005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36001 EUCLID AVE",
            "address_2": "SUITE C-17",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944643",
            "telephone_number": "440-946-4662",
            "fax_number": "440-946-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36001 EUCLID AVE",
            "address_2": "SUITE C-17",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944643",
            "telephone_number": "440-946-4662",
            "fax_number": "440-946-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DOLORES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP03177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000526664",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2411107",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Andrew Natale
• Colleen M Nawrocki, CNP
• Jane Ndunda
• Jacqueline Neiden, LISW
• Chicquita Nelson, REGISTERED NURSE
• Rasheen Shanna Nelson
• Kenneth William Nevar, DDS
• New Pathways Group LLC
• Kate Brennan Newland, 17500000X
• Sara Newsome

• Nurse Practitioner in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2010; 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.