Stephen Michael Nellis, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0000004954 Issued in TN

Practice address

2060 E Parrish Ave
Owensboro, KY 42303-1448

Phone

(270) 684-5034

NPI assigned

Jun 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, IN2 enrollments

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 2

Specialty

Family Practice

Education

Indiana University School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/henders-823c208a

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.

• Great Lakes Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Princeton, IN
  • NPI 1457816514
  Medicare reassignment NPD
• Haywood County Community Hospital, Inc

  • Emergency Medicine Physician
  • Brownsville, TN
  • NPI 1790444933
  Medicare reassignment NPD
• Lexington Clinic Corp

  • Family Medicine Physician
  • Lexington, TN
  • NPI 1780652107

  Emergency Medicine

  Medicare reassignment NPD
• Lexington Family Physicians LLC

  • Family Medicine Physician
  • Lexington, TN
  • NPI 1265660708
  Medicare reassignment NPD
• Lexington Hospital Corporation

  • Emergency Medicine Physician
  • Lexington, TN
  • NPI 1083809669
  Medicare reassignment NPD
• Shamrock Community Hospital Inc

  • Family Medicine Physician
  • Erin, TN
  • NPI 1033878277

  Emergency Medicine

  Medicare reassignment NPD
• Shamrock Community Hospital Inc

  • Critical Access Hospital
  • Erin, TN
  • NPI 1811566540
  Medicare reassignment NPD
• Perry County Community Hospital Inc

  • Critical Access Hospital
  • Linden, TN
  • NPI 1528890480
  Medicare reassignment
• Haywood County Community Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Brownsville, TN
  • NPI 1174233225
  NPD
• Lexington Hospital Corporation

  • Clinic Pharmacy
  • Lexington, TN
  • NPI 1033888649
  NPD
• Lexington Hospital Corporation

  • Emergency Medicine Physician
  • Lexington, TN
  • NPI 1407290893
  NPD
• Shamrock Community Hospital Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Erin, TN
  • NPI 1952011520
  NPD

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1962060814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031448",
            "telephone_number": "270-684-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLIS",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "0000004954",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "4954",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "4954",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "4954",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "4954",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "4954",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "4954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Nealy, BA PSY
• Thomas Christopher Nebel, DO
• Jennifer Beth Neely, APRN
• Dustin Neighbors
• Sarah Elizabeth Neill, M.D.
• Courtney Lynn Nelson, PT, DPT
• Heather Kaye Nelson, LPCC
• Matthew Tanner Nelson, DO
• Berhanemeskel Nesketa, M.D.
• Chad B Nesmith

• Family Medicine Physician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.