Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669979621 Individual Practitioner Female Practitioner

Dr. Danae Nelson , DO

Pediatrics • Surprise, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Danae Nelson, DO is a registered healthcare professional specializing in Pediatrics in Surprise, AZ. Practice services are available at 15264 W BROOKSIDE LN STE 155 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15264 W Brookside Ln Ste 155

Surprise, AZ 853743997

Telephone 6238777337
Fax 6237720686
Associated Practice Facility / Clinic
🏢 Desert Valley Pediatrics Facility NPI 1336354984

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Surprise, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Surprise, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 009185

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Secondary Practice Locations

1465 S. Grand Blvd., Room 2717

St. Louis, MO 631041003

Phone: 3142684070

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alea Cox

Nurse Practitioner - Pediatrics

NPI 1033818844
NPI 1043016405

CPNPPC

Lisette Hill , RN, CPNP

Nurse Practitioner - Pediatrics

NPI 1043518707

Registered Nurse, Certified Pediatric Nurse Practitioner

Brianna Marks , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1053046789

CPNPPC

Genaya Titterington , PA-C

Physician Assistant

NPI 1083603799

Physician Assistant (Certified)

NPI 1134123748

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 09, 2021

Registered at 15264 W BROOKSIDE LN STE 155, SURPRISE, AZ 853743997 (Tel: 6238777337)

📍
Updated Business Mailing Address September 09, 2021

Registered at 4137 N 108TH AVE, PHOENIX, AZ 850375459 (Tel: 6238777337)

NPI Profile Active April 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2018

Registered at 1465 S. GRAND BLVD., ROOM 2717, ST. LOUIS, MO 631041003 (Tel: 3142684070)

📍
Updated Business Mailing Address April 06, 2018

Registered at 1465 S. GRAND BLVD., ROOM 2717, ST. LOUIS, MO 631041003 (Tel: 3142684070)

👤
Provider Name / Credentials Updated April 06, 2018

Recorded as DANAE NELSON, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 06, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669979621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2018
Last Update: September 09, 2021
Sole Proprietor: Yes

Mailing Address

4137 N 108th Ave

Phoenix, AZ 850375459

Phone: 6238777337

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.