MAXINE LAXINE NELSON MD
NPI 1609449784
Student in an Organized Health Care Education/Training Program in Canton, OH

Q: What is Maxine Nelson's NPI number?

The NPI number for Maxine Nelson is 1609449784. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Q: What is Maxine Nelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maxine Nelson was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 19, 2021PECOS Enrolled

2600 SIXTH ST SW, CANTON, OH 44710(330) 363-6223(330) 363-3877 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Maxine Laxine Nelson Md NPPES

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

MAXINE LAXINE NELSON MD (NPI 1609449784) is an individual student in an organized health care education/training program in Canton, Ohio and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609449784

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMAXINE LAXINE NELSONCredential: MD

Location Address2600 SIXTH ST SWCanton, OH 44710-1702

Mailing Address2600 Sixth St SwCanton, OH 44710-1702 · (330) 363-6223 · Fax (330) 363-3877

Phone(330) 363-6223

Fax(330) 363-3877

Sole ProprietorYes

Enumeration DateJuly 19, 2021

NPPES CertifiedJuly 19, 2021

✔ NPI 1609449784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

2600 SIXTH ST SW, Canton, OH 44710

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxine Laxine Nelson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

CHELSEA FLIGHT CNP

Nurse Practitioner