Mrs Lori Nellis, RN is a
Registered Nurse based in Broadalbin, New York. Mrs Lori Nellis is licensed to practice in New York (license number 657836) and her current practice location is
100 Bridge St, Broadalbin, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 954-2631.
NPI number for Mrs Lori Nellis is 1700771276 and her current mailing address is 883 Union Mills Rd, Broadalbin, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700771276.
Provider's Profile
| Full Name | Mrs Lori Nellis |
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| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 100 Bridge St, Broadalbin, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700771276
- Provider Enumeration Date: 06/12/2025
- Last Update Date: 06/12/2025
Medical Identifiers
Medical identifiers for Mrs Lori Nellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700771276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 657836 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lori Nellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Lori Nellis, RN
883 Union Mills Rd,
Broadalbin, NY 12025-1992
Ph: (518) 774-5447 | Mrs Lori Nellis, RN
100 Bridge St,
Broadalbin, NY 12025-2193
Ph: (518) 954-2631 |
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