PHYLLIS NELSON (CNP) – Gerontology Nurse Practitioner, NPI 1770033599
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PHYLLIS NELSON (CNP)
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CENTRAL CREDENTIALING
CINCINNATI, OH 452636256
Phone: (513) 585-5505
Fax: (513) 585-5511
Type: Mailing
7690 DISCOVERY DR
WEST CHESTER, OH 450696542
Phone: (513) 475-7630
Fax: (513) 475-7636
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $556.
Total Amount is formed as General ($556) + Research ($0) + Ownership ($0) = $556.
Last reported payment date: 2023-05-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($473).
Total Amount
$556
General + Research + Ownership
Payments
7
Total payment records
General Amount
$556
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $473 |
| Regeneron Healthcare Solutions, Inc. | $83 |
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: 2017-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161116001261 | I | Nurse Practitioner | OH | TBD |
| I20170721000150 | I | Nurse Practitioner | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 941 | 156 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 360 | 297 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 246 | 199 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 201 | 169 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 157 | 130 | $0 |
Insurance plans in this area (ZIP 45263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Radiation Oncology | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| N E U R O L O G Y | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Family Practice | OH |
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