| Regina Nelson, | |
|
3147 W 65th Ave, Merrillville, IN 46410-2978 | |
| (219) 487-5031 | |
| Not Available |
| Full Name | Regina Nelson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3147 W 65th Ave, Merrillville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679966030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71005745A (Indiana) | Primary |
| Entity Name | Optimal Neuroscience Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174006704 PECOS PAC ID: 6901159060 Enrollment ID: O20231226000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Regina Nelson, 3147 W 65th Ave, Merrillville, IN 46410-2978 Ph: (219) 487-5031 | Regina Nelson, 3147 W 65th Ave, Merrillville, IN 46410-2978 Ph: (219) 487-5031 |
Sherri Lynn Hernandez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8560 Broadway, Merrillville, IN 46410 Phone: 219-793-9248 Fax: 219-793-9387 | |
Kimberly Dianell Armstrong, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5800 Broadway, Merrillville, IN 46410 Phone: 219-884-9180 Fax: 219-884-9280 | |
Mrs. Darrian Renee Sullivan, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5825 Broadway, Merrillville, IN 46410 Phone: 219-689-3199 | |
Angela M Vanderberg, FNP-BC, PMHNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7805 Taft St Ste E, Merrillville, IN 46410 Phone: 219-742-7328 Fax: 219-343-5454 | |
Danielle Jackson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8645 Connecticut St, Merrillville, IN 46410 Phone: 219-769-3500 | |
Cindy Chapman, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 W 86th Ave, Merrillville, IN 46410 Phone: 219-791-1555 Fax: 219-791-1560 | |
Christopher Micheal Hatch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-769-6639 Fax: 219-769-0636 |