Jacob Reed Nelson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

276710 Issued in NY

Practice address

2450 W Horizon Ridge Pkwy Ste 150
Henderson, NV 89052-2722

Phone

(702) 990-0622

Fax

(702) 938-1473

NPI assigned

Apr 28, 2011

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

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Family Practice

Education

State University of Ny Upstate Medical University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Concierge Care Physicians LLP 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dynamic Home Health Care, LLC Home health agency, Las Vegas, NV, CCN 297096
• Care First Home Health Care Home health agency, Las Vegas, NV, CCN 297143

Merit-based Incentive Payment System (MIPS)

Final score

61.15 of 100Reported as group

Quality

36.67

Improvement activities

40

Cost

61.8

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4
• Direct secure messaging: jacob.nelson.1@13309.direct.athenahealth.com

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.

• Concierge Care Physicians, LLP

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1104850163

  NV

  Medicare reassignment Care Compare group NPD
• Platinum Hospitalists LLP

  • Hospitalist Physician
  • Henderson, NV
  • NPI 1861627242

  Family Medicine, NV

  Medicare reassignment NPD
• Platinum Hospitalists LLP

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1437948726

  Family Medicine

  NPD
• Henderson Hospital

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1003281452
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Care First Home Care, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1104014794
  Care Compare affiliation
• Dynamic Home Health Care LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1750460739
  Care Compare affiliation

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1942591664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HORIZON RIDGE PKWY STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522722",
            "telephone_number": "702-990-0622",
            "fax_number": "702-938-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W HORIZON RIDGE PKWY STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522722",
            "telephone_number": "702-990-0622",
            "fax_number": "702-938-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JACOB",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "276710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latisha Nelms-Tucker
• Bryce Tyler Nelson, PA-C
• Cherelle Nelson, PHARMD, RPH
• Elaine Nelson, MS, LMFT, LCADC
• Guy Walter Nelson, DDS
• Jane Nelson
• Jared Daune Nelson, LCSW
• Jeffrey Ryan Nelson, D.C.
• Judith A Nelson, PSY.D.
• Kevin Wayne Nelson

• All providers in Henderson, NV
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.

Verify at the official NPI Registry.