| Mr Cody Levi Nelson, MSN, RN, PMHNP-BC | |
|
1116 N 16th St, Lafayette, IN 47904-2119 | |
| (765) 423-6300 | |
| (765) 423-6301 |
| Full Name | Mr Cody Levi Nelson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1116 N 16th St, Lafayette, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790334118 | NPI | - | NPPES |
| 28229694A | Other | IN | STATE OF INDIANA NURSING BOARD |
| 71010195A | Other | IN | STATE OF INDIANA NURSING BOARD - APRN PRESCRIPTIVE AUTHORITY |
| 71010195B | Other | IN | STATE OF INDIANA NURSING BOARD - CSR PRESCRIPTIVE AUTHORITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 28229694A (Indiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71010196A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Physician Network | 3072790682 | 1041 |
| Acute Behavioral Health Services Pc | 8921490681 | 9 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Entity Name | Acute Behavioral Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700453388 PECOS PAC ID: 8921490681 Enrollment ID: O20220110001819 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Cody Levi Nelson, MSN, RN, PMHNP-BC Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Mr Cody Levi Nelson, MSN, RN, PMHNP-BC 1116 N 16th St, Lafayette, IN 47904-2119 Ph: (765) 423-6300 |
Abigail Ann Crum, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Kimbra Weesner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Tippecanoe St, Lafayette, IN 47904 Phone: 765-423-6400 | |
Mrs. Cecilia Ann Winkler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 State Road 38 E, Lafayette, IN 47905 Phone: 765-449-6790 Fax: 765-772-7113 | |
Harmony Stine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 355, Lafayette, IN 47905 Phone: 765-807-7988 Fax: 765-807-7989 | |
Monica Michele Roadruck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3218 Daugherty Dr Ste 140, Lafayette, IN 47909 Phone: 765-502-4190 Fax: 765-502-4191 | |
Julie J Debord, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Venice Michele Jarrett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8100 |