Audra Nelson, RD, MS, CNSC is a medicare enrolled "Midwife" provider in Phoenix, Arizona. Her current practice location is
731 W Siesta Way, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(402) 850-7644.
Audra Nelson is licensed to practice in Arizona (license number LM281) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720498694.
Healthcare Provider's Profile
| Full Name | Audra Nelson |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 731 W Siesta Way, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720498694
- Provider Enumeration Date: 05/01/2014
- Last Update Date: 08/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416342811
- Enrollment ID: I20220322001680
Medical Identifiers
Medical identifiers for Audra Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720498694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 933872 (Arizona) | Secondary |
| 176B00000X | Midwife | LM281 (Arizona) | Primary |
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. Audra Nelson allows following entities to bill medicare on her behalf.
| Provider Name | Phoenix Children's Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1922112044
PECOS PAC ID: 0446278584
Enrollment ID: O20051107000704 |
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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. Audra 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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Audra Nelson, RD, MS, CNSC
2108 E Thomas Rd Ste 130,
Phoenix, AZ 85016-7761
Ph: (602) 933-3124 | Audra Nelson, RD, MS, CNSC
731 W Siesta Way,
Phoenix, AZ 85041-8333
Ph: (402) 850-7644 |
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