| Kimberly J Nelson, NP | |
|
4025 Health Park Ln, Saint Joseph, MI 49085-3421 | |
| (269) 429-7100 | |
| (269) 429-1959 |
| Full Name | Kimberly J Nelson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 4025 Health Park Ln, Saint Joseph, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700993441 | NPI | - | NPPES |
| 1700993441 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 71015824A (Indiana) | Primary |
| 363L00000X | Nurse Practitioner | 4704164646 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Ecs, Inc | 2163969650 | 230 |
| Extended Care Specialists, Inc | 2466407713 | 271 |
| Entity Name | Extended Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726 |
| Entity Name | Eventus Wholehealth Midwest Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20200818000277 |
| Entity Name | Eventus Ecs, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20240801002542 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly J Nelson, NP 4025 Health Park Ln, Saint Joseph, MI 49085-3421 Ph: (269) 429-7100 | Kimberly J Nelson, NP 4025 Health Park Ln, Saint Joseph, MI 49085-3421 Ph: (269) 429-7100 |
Holly Carrizales, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8601 | |
Miriam Mekila Morgan-skinner, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4025 Health Park Ln, Saint Joseph, MI 49085 Phone: 269-429-7100 Fax: 269-429-1307 | |
Allison Kristen Elizabeth Martin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8300 | |
Charsie A Nealey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4025 Health Park Ln, Saint Joseph, MI 49085 Phone: 269-429-7100 Fax: 269-429-1307 | |
Suzan C Robarge, RN NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Miners Rd, Saint Joseph, MI 49085 Phone: 269-408-1688 Fax: 269-408-1692 | |
Abena F Amponsah, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4025 Health Park Ln, Saint Joseph, MI 49085 Phone: 269-429-7100 Fax: 269-429-1307 | |
Ms. Hilary Christine Slemp, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4077 S Cleveland Ave, Saint Joseph, MI 49085 Phone: 269-429-2992 Fax: 269-429-3372 |