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PATINA E NELSON LCDCIII
NPI 1184121303
Counselor - Addiction (Substance Use Disorder) in Cincinnati, OH

Active since April 13, 2018PECOS Enrolled
311 MARTIN LUTHER KING DR W, CINCINNATI, OH 45220(513) 475-5800 Get Directions Write a Review

NPPES record last updated: April 13, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Patina E Nelson Lcdciii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATINA E NELSON LCDCIII (NPI 1184121303) is an individual addiction (substance use disorder) provider in Cincinnati, Ohio, licensed in Ohio (161433) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184121303
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePATINA E NELSONCredential: LCDCIII
Location Address311 MARTIN LUTHER KING DR WCincinnati, OH 45220
Mailing Address311 Martin Luther King Dr WCincinnati, OH 45220 · (513) 475-5800
Phone(513) 475-5800
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 13, 2018
✔ NPI 1184121303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 161433
311 MARTIN LUTHER KING DR W, Cincinnati, OH 45220
Open in Google Maps ↗

Other Identifiers 1

OtherI161433OH · Chemical Dependency Professionals Board

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patina E Nelson Lcdciii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961846456
PECOS Enrollment IDI20240223001526
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Patina Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cleanslate Medical Group Of Ohio LLC
41 mi
Addiction Medicine
4700 SPRINGBORO PIKE STE C
Moraine, OH 45439
  • Reassigned Medicare billing, Ohio enrollment
  • 9 clinicians in this Medicare group
NPI 1558800193 (937) 558-5100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANDREA MCNEEL
Technician, Other
311 MARTIN LUTHER KING DR W
CINCINNATI, OH 45220
Hamilton County (513) 475-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patina Nelson's NPI number?

The NPI number for Patina Nelson is 1184121303. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Patina Nelson located?

Patina Nelson practices at 311 Martin Luther King Dr W, Cincinnati, OH 45220. The listed phone number is (513) 475-5800.

What is Patina Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Patina Nelson enrolled in Medicare?

Yes. Patina Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patina Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patina Nelson reassigns Medicare benefits to Cleanslate Medical Group Of Ohio LLC (Moraine, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patina Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patina Nelson accept?

Health plans from MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Patina Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patina Nelson was last updated on April 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.