Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phyllis Adolphus Nelson, PMHNP-C

Individual provider Family Nurse Practitioner · NPI 1679114805

Phyllis Adolphus Nelson, PMHNP-C is a Nurse Practitioner in Berkley, Michigan. Qualified in 2024, 2 years ago. Practices with New Life Alternatives LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3281 Coolidge Hwy
Berkley, MI 48072-1633
Phone: (313) 915-9138
Fax: (313) 216-2776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2251 N Squirrel Rd Ste 330, Auburn Hills, MI 48326-4610 — (248) 907-4970

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704184714 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704184714 (MI)

Record details

NPI number1679114805
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2019
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice New Life Alternatives Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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