MS. NICKLITA TAMICA NELSON
NPI 1336572841
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY
About Ms. Nicklita Tamica Nelson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. NICKLITA TAMICA NELSON (NPI 1336572841) is an individual psychiatric/mental health provider in Bronx, New York, licensed in New York (404548) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Nicklita Tamica Nelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicklita Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 676 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 10475 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.
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 Nicklita Nelson's NPI number?
The NPI number for Nicklita Nelson is 1336572841. It was assigned to this individual provider in the NPPES registry on August 20, 2013.
Where is Nicklita Nelson located?
Nicklita Nelson practices at 2052 Tillotson Ave, Bronx, NY 10475. The listed phone number is (718) 671-2100.
What is Nicklita Nelson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nicklita Nelson enrolled in Medicare?
Yes. Nicklita Nelson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicklita Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicklita Nelson reassigns Medicare benefits to Harlem Medical Associates PC (New York, NY). 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 Nicklita Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicklita Nelson was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Nicklita Tamica Nelson · NPI 1336572841
Psychiatric/Mental Health physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since August 20, 2013.
## Identity
- **NPI:** 1336572841 (Entity type: Individual)
- **Enumerated:** August 20, 2013
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 404548 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2052 TILLOTSON AVE, Bronx, NY 10475-1560
- **Phone:** (718) 671-2100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Harlem Medical Associates PC (NPI 1487957692, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336572841) · Data from the CMS NPPES public registry.