NPIMap

Individual provider Active NPI

Christopher S Nelson, M.D.

  • General Practice Physician
  • Avon, IN
National Provider Identifier
1922041615
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
01050912A Issued in IN
Practice address
10706 E US Highway 36
Suite # 7
Avon, IN 46123-7982
Phone
(317) 271-3600
Fax
(317) 271-3604
NPI assigned
Jun 13, 2006
Last updated
Jan 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01050912A IN
Anesthesiology Physician 207L00000X 4301090162 MI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 01050912A IN
General Practice Physician 208D00000X 01050912A IN Primary

Addresses

Primary practice location

10706 E US Highway 36
Suite # 7
Avon, IN 46123-7982

Mailing address

10706 E US Highway 36
Avon, IN 46123-7982
Phone (317) 271-3600

Other identifiers 1

IdentifierTypeStateIssuer
200231960MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301090162MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Emergency Associates Past Accepting new patients
Sunset Coast Anesthesia Associates PC Anesthesiology Past Accepting new patients
Major Hospital Past Accepting new patients
Rush Memorial Hospital Anesthesiology PastSince Dec 7, 2025 Accepting new patients
Goshen Anesthesiology LLC Past Accepting new patients
Lakeshore Anesthesia, P.C. Anesthesiology PastSince Mar 3, 2024 Accepting new patients
Great Lakes Anesthesia, P.C. Anesthesiology Past Accepting new patients
Lake Mi Mobile Doctors, P.C. Geriatric Medicine Past Accepting new patients
Lake Mi Mobile Doctors, P.C. Geriatric Medicine Past Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1922041615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237982",
            "telephone_number": "317-271-3600",
            "fax_number": "317-271-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 E US HIGHWAY 36",
            "address_2": "SUITE # 7",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237982",
            "telephone_number": "317-271-3600",
            "fax_number": "317-271-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01050912A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301090162",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "01050912A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01050912A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200231960",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.