Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

David Enoch Nelson , NP-C

Nurse Practitioner โ€ข Gary, IN

Active NPI 1922302140 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4900 Broadway
Gary, IN 464084605

Call 2192375170 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4900 Broadway

Gary, IN 464084605

Telephone 2192375170
Fax 2193211931
Other Listings in Public Data

NPPES lists 5 distinct additional practice-address records in Arlington, VA; Denver, CO; Des Moines, IA and 2 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Oak Street Health Physicians Group Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2010

Medicare patients

60 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $7,467 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $6,037 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

14,945 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,126,033 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $568.11 across 30 records.

By nature of payment

  • Food and Beverage: $568.11 across 30 records.

Reporting-company totals

  • ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.): $497.92 across 27 records.
  • ABBVIE INC.: $43.99 across 2 records.
  • Exact Sciences Corporation: $26.20 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

16 years (graduated 2010)

CMS Doctors and Clinicians data list 2010 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

David Nelson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists David Nelson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Gary and Indiana

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Indiana (2024, 1,371 clinicians with data). Median for this group: 256. Middle half: 110 to 610.

Too few clinicians listed under Nurse Practitioner in Gary have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Indiana (2024, 1,371 clinicians with data). Median for this group: $19,135. Middle half: $7,958 to $39,717.

Too few clinicians listed under Nurse Practitioner in Gary have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Indiana (2024, 1,371 clinicians with data). Median for this group: $13,749. Middle half: $5,619 to $28,891.

Too few clinicians listed under Nurse Practitioner in Gary have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Indiana (2024, 1,448 clinicians with data). Median for this group: 494. Middle half: 122 to 1,811.

Too few clinicians listed under Nurse Practitioner in Gary have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Indiana (2024, 1,448 clinicians with data). Median for this group: $35,570. Middle half: $1,755 to $208,754.

Too few clinicians listed under Nurse Practitioner in Gary have Medicare Part D data for 2024 to compare.

10 active clinicians are listed under Nurse Practitioner with a practice address in Gary, IN (2,582 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 30 records totaling $568.11.

Manufacturer Payment Nature Product Type Amount ($)
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $34.14
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $30.56
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $30.02
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $27.13
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $26.58
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $26.20
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $25.71
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $25.71
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $25.00
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $25.00
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $23.97
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $23.67
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $23.64
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $23.59
ABBVIE INC.
Food and Beverage
In-kind items and services
MAVYRET General $23.47
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $22.86
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $22.63
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $21.08
ABBVIE INC.
Food and Beverage
In-kind items and services
MAVYRET General $20.52
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $19.36
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $14.10
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $13.36
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $10.56
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $8.30
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $5.99

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
93 43 $103.26 $44.49
83036 Hemoglobin a1c level
38 27 $19.42 $9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
29 29 $239.45 $102.32

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amlodipine Besylate Amlodipine Besylate 497 40,276 $1,795.63 163
Atorvastatin Calcium Atorvastatin Calcium 454 37,334 $3,039.16 195
Albuterol Sulfate Hfa Albuterol Sulfate 277 12,193 $8,273.23 96
Metoprolol Succinate Metoprolol Succinate 201 15,129 $1,535.72 61
Ozempic Semaglutide 198 11,806 $384,627.62 65
Gabapentin Gabapentin 163 13,000 $3,324.35 64
Losartan Potassium Losartan Potassium 147 12,538 $768.56 64
Prednisone Prednisone 143 1,015 $159.44 87
Potassium Chloride Potassium Chloride 143 9,830 $1,900.91 51
Torsemide Torsemide 136 9,053 $1,631.62 51
Lisinopril Lisinopril 134 10,403 $755.65 48
Carvedilol Carvedilol 126 10,158 $748.81 45
Tramadol Hcl Tramadol Hcl 106 2,357 $1,086.78 30
Pantoprazole Sodium Pantoprazole Sodium 106 7,664 $574.03 38
Metformin Hcl Metformin Hcl 97 7,376 $535.28 37
Tizanidine Hcl Tizanidine Hcl 94 3,037 $428.31 44
Clopidogrel Clopidogrel Bisulfate 92 7,757 $558.66 32
Tamsulosin Hcl Tamsulosin Hcl 92 7,519 $770.79 32
Chlorthalidone Chlorthalidone 89 7,115 $927.54 35
Trazodone Hcl Trazodone Hcl 87 6,898 $613.07 30
Jardiance Empagliflozin 86 6,420 $126,222.62 33
Azithromycin Azithromycin 85 414 $216.83 62
Famotidine Famotidine 82 6,937 $727.14 30
Omeprazole Omeprazole 81 5,663 $853.23 32
Metoprolol Tartrate Metoprolol Tartrate 80 6,688 $604.20 36

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IN 71003530A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES TN 31372

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES VA 0024183960

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES FL APRN11046807

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES OR 202214458NP-PP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IA A167956

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES TX 1235449

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES CO C-APN.0003892-C-NP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20260618004490

Enrollment State Jurisdiction

DC

PECOS Control ID

3577743152

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Oak Street Health Physicians Group Pc

4900 Broadway, Gary, IN 464084605

Phone: 3127339730

Secondary Practice Locations

40 Burton Hills Blvd Ste 200

Nashville, TN 372155902

Phone: 9015578781

8888 Keystone Xing Ste Ofc1382

Indianapolis, IN 462404609

Phone: 9016255408

699 Walnut St

Des Moines, IA 503093929

Phone: 5052364671

1125 17th St Ste 1000

Denver, CO 802022043

Phone: 7202045760

2311 Wilson Blvd Fl 3

Arlington, VA 222015436

Phone: 8045712336

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Simran Arora , MD

Family Medicine

NPI 1578976791

Doctor of Medicine (M.D.)

Sharelle Bishop

Nurse Practitioner - Family

NPI 1699559575
NPI 1699782318

Doctor of Medicine (M.D.)

Timothy Gobek , LCSW

Social Worker - Clinical

NPI 1730487273

Licensed Clinical Social Worker

Tonya Harvey , NP

Nurse Practitioner - Family

NPI 1528392156

Nurse Practitioner

Israel Nieto

Nurse Practitioner - Family

NPI 1952890352

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Business Mailing Address June 03, 2026

Registered at 213 N RACINE AVE STE 100, CHICAGO, IL 606071644 (Tel: 3127339730)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2026

Nurse Practitioner (license number reported to NPPES: TN 31372)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2022

Nurse Practitioner (license number reported to NPPES: IN 28149900A)

โœ…
NPI Profile Active August 30, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 30, 2016

Registered at 4900 BROADWAY, GARY, IN 464084605 (Tel: 2192375170)

๐Ÿ“
Business Mailing Address (Initial Record) August 30, 2016

Registered at 213 N RACINE AVE, STE 100, CHICAGO, IL 606071644 (Tel: 3127339730)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 30, 2016

Recorded as DAVID NELSON, NP-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2016

Nurse Practitioner (license number reported to NPPES: IN 28149900A)

๐ŸŸข
Initial NPI Registration & Enumeration January 03, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922302140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2011
Last Update: June 03, 2026
Sole Proprietor: No

Other Nurse Practitioners in Gary

Healthcare providers in Gary

Mailing Address

213 N Racine Ave Ste 100

Chicago, IL 606071644

Phone: 3127339730

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.