James Douglas Nelson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13000 Issued in NE

Practice address

515 W Boyd Ave
Elm Creek, NE 68836-1563

Phone

(308) 856-4616

Fax

(308) 856-4617

NPI assigned

Sep 9, 2005

Last updated

Jan 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1841284486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "ELM CREEK",
            "state": "NE",
            "postal_code": "688360505",
            "telephone_number": "308-856-4616",
            "fax_number": "308-856-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W BOYD AVE",
            "city": "ELM CREEK",
            "state": "NE",
            "postal_code": "688361563",
            "telephone_number": "308-856-4616",
            "fax_number": "308-856-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "13000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47069616113",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elm Creek Rural Fire Protection District No 7 (Elm Creek Vol. Fire and Rescue Department)
• Janette Sue Fruhling
• Leah Marie Kenney
• Lexington Regional Health Center
• Michelle R Meads
• Kesiah Elise Pulliam, RDH
• Issac Ira Surridge

• Family Medicine Physician in Elm Creek, NE
• Providers in Elm Creek, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.