Joel Nelson, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

01035192 Issued in IN

Practice address

550 S Landmark Ave
Bloomington, IN 47403-3239

Phone

(812) 330-3688

Fax

(812) 355-3270

NPI assigned

Jul 15, 2005

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Ima, Inc.

  • Internal Medicine Physician
  • Bloomington, IN
  • NPI 1710974266
  NPD
• Bloomington Emergency Group PC

  • Emergency Medicine Physician
  • Bloomington, IN
  • NPI 1821366832
  NPD (past)
• Lafayette Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Lebanon, IN
  • NPI 1891741641
  NPD (past)
• Meridian Medical Services, Inc

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1255579942
  NPD (past)
• Northern Indiana Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Bloomington, IN
  • NPI 1497185797
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1851390504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033239",
            "telephone_number": "812-330-3688",
            "fax_number": "812-355-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033239",
            "telephone_number": "812-330-3688",
            "fax_number": "812-355-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IN",
            "license": "01035192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO.",
            "identifier": "000000300090",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN STATE LICENSE NUMBER",
            "identifier": "01035192",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200059630",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Irene Neibel, NP
• Kyle K Neill, PT DPT
• Alicia Dawn Nelson, NP
• Amber Nelson
• Anna Sasha Nelson
• Kimberly A Nelson, NP
• Nancy L Nelson, AU.D., CCC-A
• Taylor Nelson
• Stephen Nering, LMT
• Shashanka Nethi, M.B.B.S.

• Emergency Medical Services (Emergency Medicine) Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.