Ms Lara Lyn Nelson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Port St. Lucie, Florida. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Back In Action Medical Center Llc and her current practice location is
1066 Sw Gatlin Blvd, Port St. Lucie, Florida. You can reach out to her office (for appointments etc.) via phone at
(772) 879-8080.
Ms Lara Lyn Nelson is licensed to practice in Florida (license number APRN11004624) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346414745.
Provider's Profile
| Full Name | Ms Lara Lyn Nelson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 1066 Sw Gatlin Blvd, Port St. Lucie, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Lara Lyn Nelson graduated from nursing school in 2019
NPI Data:
- NPI Number: 1346414745
- Provider Enumeration Date: 04/16/2008
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880097021
- Enrollment ID: I20240415000242
Medical Identifiers
Medical identifiers for Ms Lara Lyn Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346414745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 25042 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 33103 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11004624 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Back In Action Medical Center Llc | 7810272473 | 9 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Lara Lyn Nelson allows following entities to bill medicare on her behalf.
| Entity Name | Back In Action Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093183733
PECOS PAC ID: 7810272473
Enrollment ID: O20170321002639 |
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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. Ms Lara Lyn Nelson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ms Lara Lyn Nelson, APRN
2351 Sw Martin Hwy,
Palm City, FL 34990-3222
Ph: (772) 324-9337 | Ms Lara Lyn Nelson, APRN
1066 Sw Gatlin Blvd,
Port St. Lucie, FL 34953
Ph: (772) 879-8080 |
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