Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Jon Nelson, MD

Individual provider Neurology Physician · NPI 1093210395

Nicholas Jon Nelson, MD is a Neurology in Phoenix, Arizona. Qualified in 2018, 8 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2910 N 3rd Ave # 470
Phoenix, AZ 85013-4434
Phone: (602) 406-6262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 — (352) 265-0239

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 72781 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093210395
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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