Individual provider Active NPI

Natalie Nelson, NP

  • Family Nurse Practitioner
  • Fall River Mills, CA
National Provider Identifier
1982317624
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023131 Issued in CA
Practice address
43658 Ca-299
Fall River Mills, CA 96028
Phone
(530) 999-9020
NPI assigned
Dec 27, 2022
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023131 CA Primary

Addresses

Primary practice location

43658 Ca-299
Fall River Mills, CA 96028

Mailing address

43563 State Highway 299 E
Fall River Mills, CA 96028-9787
Phone (530) 336-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230130000209 CA Practitioner - Nurse Practitioner 0143691154 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95023131CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Valleys Health Centers CurrentSince Jan 9, 2023 Accepting new patients
Mountain Valleys Health Centers Current Accepting new patients
Mountain Valleys Health Centers CurrentSince Jan 9, 2023 Accepting new patients
Mayers Memorial Hospital District CurrentSince Jun 18, 2024 Accepting new patients

Locations

554-850 Medical Center Dr
Bieber, CA 96009
Phone (530) 294-5629

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

Organizations & group practices 4

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": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1982317624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43563 STATE HIGHWAY 299 E",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "960289787",
            "telephone_number": "530-336-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43658 CA-299",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "96028",
            "telephone_number": "530-999-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NATALIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River Mills, CA

Sources for this page

Verify at the official NPI Registry.