Individual provider Active NPI

Nelvie Rachel Roldan Julian, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1992449763
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348970 Issued in NY
Practice address
3923 Fort Hamilton Pkwy
Brooklyn, NY 11218-1916
Phone
(917) 250-4561
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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 348970 NY Primary

Addresses

Primary practice location

3923 Fort Hamilton Pkwy
Brooklyn, NY 11218-1916

Mailing address

9411 60TH Ave Apt 2B
Elmhurst, NY 11373-5043
Phone (917) 250-4561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220511002291 NY Practitioner - Nurse Practitioner 8123405271 Reassigns benefits to 1 organization
I20251121001633 NJ Practitioner - Nurse Practitioner 8123405271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 A Stockton St
Apt 3
Brooklyn, NY 11206-5722

1481 McDonald Ave
Brooklyn, NY 11230-4667

416 Dietz St
Roselle, NJ 07203-2328

Merit-based Incentive Payment System (MIPS)

Final score
21.78 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
72.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348970NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Wound Care of New Jersey LLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

3923 Fort Hamilton Pkwy
Brooklyn, NY 11218
Phone (718) 314-0999

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1992449763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 60TH AVE APT 2B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735043",
            "telephone_number": "917-250-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181916",
            "telephone_number": "917-250-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "NELVIE RACHEL",
        "middle_name": "ROLDAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.