Nicci Lee Nelson, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

343258 Issued in NY

Practice address

144 Genesee St
Auburn, NY 13021-3503

Phone

(315) 253-8477

NPI assigned

Jul 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Carmen Bautista-Dator MD PC

  • Internal Medicine Physician
  • Oswego, NY
  • NPI 1912066242
  NPD
• United Health Services Hospitals, Inc.

  • Multi-Specialty Clinic/Center
  • Johnson City, NY
  • NPI 1962463851
  NPD
• East Hill Family Medical, Inc.

  • Family Medicine Physician
  • Auburn, NY
  • NPI 1740074673
  NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1851878532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5135",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131265135",
            "telephone_number": "315-806-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213503",
            "telephone_number": "315-253-8477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131263009",
            "country_code": "US",
            "telephone_number": "315-343-2151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NICCI",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "343258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Nass
• National Vision, Inc.
• Charles Eric Naumann, DC
• Lily Nelson, OTR/L
• Linda Ann Nelson, NPP
• Stephanie M. Nelson, LCSW, MSW, ACSW
• Neelam Neupane, M.B.B.S.
• New Beginnings Home Care
• New Beginnings Home Care, Inc.
• New York Medicaid

• Family Medicine Physician in Auburn, NY
• Providers in Auburn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.