ELIZABETH RUBY ANNE NELSEN DO
NPI 1467860494
Student in an Organized Health Care Education/Training Program in Manchester, CT

Active since July 22, 2014PECOS EnrolledAccepts Medicare Assignment
71 HAYNES ST, MANCHESTER, CT 06040(860) 533-6559 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Ruby Anne Nelsen Do NPPES

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

ELIZABETH RUBY ANNE NELSEN DO (NPI 1467860494) is an individual student in an organized health care education/training program in Manchester, Connecticut and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Chicago College Of Osteopathy (2013).

NPPES Registry Identity

NPI1467860494
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH RUBY ANNE NELSENCredential: DO
Location Address71 HAYNES STManchester, CT 06040-4131
Mailing Address16 Ambassador Dr, Unit EManchester, CT 06042-2467 · (860) 549-2680
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 2013
Enumeration DateJuly 22, 2014
Last NPPES UpdateFebruary 4, 2022
NPI 1467860494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
71 HAYNES ST, Manchester, CT 06040

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Ruby Anne Nelsen Do 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.

PECOS PAC ID6608192844
PECOS Enrollment IDI20191220001509
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.

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.

Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Social Worker (Clinical)
71 HAYNES ST, BEHAVIORAL HEALTH UNIT
MANCHESTER, CT 06040
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Physician Assistant
71 HAYNES ST
MANCHESTER, CT 06040
Student in an Organized Health Care Education/Training Program
71 HAYNES ST
MANCHESTER, CT 06040
Psychiatry & Neurology (Child & Adolescent Psychiatry)
71 HAYNES ST
MANCHESTER, CT 06040
Physician Assistant (Surgical)
71 HAYNES ST
MANCHESTER, CT 06040
Psychiatry & Neurology (Psychiatry)
71 HAYNES ST, MMH
MANCHESTER, CT 06040

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 Elizabeth Nelsen's NPI number?

The NPI number for Elizabeth Nelsen is 1467860494. It was assigned to this individual provider in the NPPES registry on July 22, 2014.

Where is Elizabeth Nelsen located?

Elizabeth Nelsen practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 533-6559.

What is Elizabeth Nelsen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elizabeth Nelsen enrolled in Medicare?

Yes. Elizabeth Nelsen 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Nelsen was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.