MICHELA NELSON (FNP-BC) – Family Nurse Practitioner, NPI 1356124077

MICHELA NELSON (FNP-BC) is a healthcare provider. based in Douglasville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. RN258829 (GA). The NPI Number for MICHELA NELSON (FNP-BC) is 1356124077

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MICHELA NELSON (FNP-BC)
NPI
1356124077
Phone
(770) 942-9214
Address
6031 FAIRBURN RD
Enumeration Date
16 August 2023
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704598449
Graduation Year
2022 (4 years ago)
PAC ID
5991159550
Group Practice PAC ID
3577646736
Professional Enrollment ID
I20230929003308
Address ID
GA301578638DA7869XHWYX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MICHELA NELSON (FNP-BC)

  • 6031 FAIRBURN RD

    DOUGLASVILLE, GA 301342307

    Phone: (770) 942-9214

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230929003308INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0008Administration of influenza virus vaccine1212$0
View full utilization report →

Insurance plans in this area (ZIP 30134)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577646736View full group profile
NameSpecialtyState
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Family Practice, Sleep MedicineGA
-GA

Reviews

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Frequently asked questions

Is MICHELA NELSON (FNP-BC) listed with a National Provider Identifier?
Yes — MICHELA NELSON (FNP-BC) has NPI 1356124077 on file in the registry.
Would MICHELA NELSON (FNP-BC) appear as active to a payer?
You can treat MICHELA NELSON (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MICHELA NELSON (FNP-BC)'s focus?
For MICHELA NELSON (FNP-BC), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is MICHELA NELSON (FNP-BC) registered?
Use Douglasville, Georgia as the headline location for MICHELA NELSON (FNP-BC) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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