JOHN NELSON PMHNP
NPI 1194682021
Nurse Practitioner - Psychiatric/Mental Health in Milwaukee, WI
About John Nelson Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN NELSON PMHNP (NPI 1194682021) is an individual psychiatric/mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (17849-33) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Nelson Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53220
- Reassigned Medicare billing, Wisconsin enrollment
- 58 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53220
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 John Nelson's NPI number?
The NPI number for John Nelson is 1194682021. It was assigned to this individual provider in the NPPES registry on January 5, 2026.
Where is John Nelson located?
John Nelson practices at 7330 W Layton Ave, Milwaukee, WI 53220. The listed phone number is (414) 877-4570.
What is John Nelson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is John Nelson enrolled in Medicare?
Yes. John Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Nelson reassigns Medicare benefits to American Behavioral Clinics, Sc (Milwaukee, WI). 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 John Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Nelson accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list John 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 John Nelson was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# John Nelson, PMHNP · NPI 1194682021
Psychiatric/Mental Health physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since January 5, 2026.
## Identity
- **NPI:** 1194682021 (Entity type: Individual)
- **Enumerated:** January 5, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 17849-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 7330 W LAYTON AVE, Milwaukee, WI 53220-3849
- **Phone:** (414) 877-4570 · **Fax:** (414) 281-9884
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** American Behavioral Clinics, Sc (NPI 1144313859, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194682021) · Data from the CMS NPPES public registry.