Michael A Nelson (NPI# 1043477136, PAC ID# 6204908544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1043477136 |
| PAC ID by PECOS | 6204908544 |
| Professional Enrollment ID | I20080702000315 |
| Full Name | Michael A Nelson |
| Organization Legal Name | PROACTIVE HEART AND VASCULAR PLLC |
| Address |
7751 Wolf River Blvd Germantown TN 38138-1706 |
| Phone Number | 9012974000 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 2000 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | PERIPHERAL VASCULAR DISEASE |
| Group Practice PAC ID | 6406753748 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440183 | ST FRANCIS HOSPITAL |
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7751 Wolf River Blvd, Germantown, TN 38138-1706 | 9012974000 | PROACTIVE HEART AND VASCULAR PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 85% | |
| MIPS_EC_047_overall | Care Plan | 96% |
| Organization Legal Name | PROACTIVE HEART AND VASCULAR PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracie L. Luther | Nurse Practitioner | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Lesa J Beaver | Nurse Practitioner | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Street Address |
7751 WOLF RIVER BLVD |
| City | GERMANTOWN |
| State | TN |
| Zip | 38138-1706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracie L. Luther | Nurse Practitioner | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Lesa J Beaver | Nurse Practitioner | Proactive Heart and Vascular Pllc | 7751 Wolf River Blvd, Germantown, TN 38138-1706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Foley | Dermatology | 2195 W St, Germantown, TN 38138 | |
| Jeffrey M Bishop | Nurse Practitioner | 6655 Poplar Ave, Suite 204, Germantown, TN 38138-0643 | |
| Kelly D Lee | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| William Kurts | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Jeffrey Sawyer | Orthopedic Surgery | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Walter Diggs | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Jennifer Gourley Huffman | Physical Therapy | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Robert H Miller | Orthopedic Surgery | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Kevin Cleveland | Orthopedic Surgery | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| David Cannon | Hand Surgery | Campbell Clinic PC | 7887 Wolf River Blvd, Germantown, TN 38138-1718 |
| Find all physicians in zip 38138 | |||
| City | GERMANTOWN |
| Zip Code | 38138 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | GERMANTOWN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Michael A Nelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.