Individual provider Active NPI

Anne Marie McDermott Nelson, DC

  • Chiropractor
  • Clifton Park, NY
National Provider Identifier
1982695045
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009691 Issued in NY
Practice address
1539 Crescent Rd
Clifton Park, NY 12065-7701
Phone
(518) 373-9999
Fax
(518) 373-8887
NPI assigned
Oct 28, 2005
Last updated
Nov 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009691 NY Primary

Addresses

Primary practice location

1539 Crescent Rd
Clifton Park, NY 12065-7701

Mailing address

1539 Crescent Rd
Clifton Park, NY 12065-7701
Phone (518) 373-9999

Other names 1

  • Anne Marie Nelson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000562 NY Practitioner - Chiropractic 0446336861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Chiropractic, PLLCGroup PAC ID 4486718319, 3 clinicians

Practice addresses (Care Compare)

1539 Crescent Rd
Clifton Park, NY 12065-7701
Phone (518) 373-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009691NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Chiropractic, PLLC Chiropractor CurrentSince Feb 25, 2008 Accepting new patients

Locations

1539 Crescent Rd
Clifton Park, NY 12065
Phone (518) 373-9999

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, 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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1982695045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 CRESCENT RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120657701",
            "telephone_number": "518-373-9999",
            "fax_number": "518-373-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 CRESCENT RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120657701",
            "telephone_number": "518-373-9999",
            "fax_number": "518-373-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ANNE MARIE",
        "middle_name": "MCDERMOTT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE MARIE",
            "last_name": "NELSON",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.