Clarice Nelson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-38387 Issued in KS

Practice address

2700 E 30TH Ave
Hutchinson, KS 67502-1242

Phone

(620) 663-8484

Fax

(620) 802-0682

NPI assigned

Jun 29, 2012

Last updated

Dec 30, 2019By 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 KS

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

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairiestar Health Center IncGroup PAC ID 6305822560, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hutchinson Regional Medical Center Inc Hospital, Hutchinson, KS, CCN 170020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: clarice.nelson@khindirect.org
• Direct secure messaging: clarice.nelson@pshc.eclinicaldirectplus.com

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.

• Prairiestar Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hutchinson, KS
  • NPI 1871564534
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hutchinson Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hutchinson, KS
  • NPI 1922039320
  Care Compare affiliation

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1811251259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021242",
            "telephone_number": "620-663-8484",
            "fax_number": "620-802-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021242",
            "telephone_number": "620-663-8484",
            "fax_number": "620-802-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CLARICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015032063",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-38387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Shawn Nachtigal, LCPC, BCPCC
• Denise Nall, LPN
• Chandra Nataraj, M.D.
• National Vision, Inc.
• Ciera Marie Nelson
• Michelle Lee Nelson, CRNA
• Darrel Neuschafer, MD
• Laura N Neville, LSCSW
• New Beginnings, Incl
• New Hope Counseling Services

• Family Medicine Physician in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.