Active NPI
Johan Nelson, APRN
- Psychiatric/Mental Health Nurse Practitioner
- North Miami Beach, FL
National Provider Identifier
1861154478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11015432
- Practice address
- 126 NE 169TH St
North Miami Beach, FL 33162-1752 - Phone
- (305) 968-0294
- NPI assigned
- Oct 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN11015432 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11015432 | FL | Primary |
Addresses
Primary practice location
126 NE 169TH St
North Miami Beach, FL 33162-1752
Mailing address
126 NE 169TH St
North Miami Beach, FL 33162-1752
Phone (305) 968-0294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, CO, TX, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Miami, LM Miller School of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
126 NE 169TH St
North Miami Beach, FL 33162-1752
31 Spencer St
Suite 1501
Brooklyn, NY 11205-5289
831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11015432 | FL | MD | Gerontology Nurse Practitioner |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1861154478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 NE 169TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331621752",
"telephone_number": "305-968-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 NE 169TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331621752",
"telephone_number": "305-968-0294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JOHAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-11",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11015432",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11015432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.