CAROL B NELSON MD
NPI 1003823410
Psychiatry & Neurology - Neurology in Mitchell, SD
About Carol B Nelson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL B NELSON MD (NPI 1003823410) is an individual neurology provider in Mitchell, South Dakota, licensed in South Dakota (3998) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and maintains a secondary practice location in Viborg.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Carol B Nelson Md 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 Reassignments
2Medicare enrollment records show Carol Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mitchell, SD 57301
- Reassigned Medicare billing, South Dakota enrollment
- Medicare enrollment name: Nelson Neurology PC
Tea, SD 57064
- Reassigned Medicare billing, South Dakota enrollment
- 1,277 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDHuron Regional Medical Center
Critical Access Hospitals · Huron, SDAvera Queen Of Peace
Critical Access Hospitals · Mitchell, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57301 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 6
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 Carol Nelson's NPI number?
The NPI number for Carol Nelson is 1003823410. It was assigned to this individual provider in the NPPES registry on August 1, 2006.
Where is Carol Nelson located?
Carol Nelson practices at 1415 N Sanborn Blvd, Mitchell, SD 57301. The listed phone number is (605) 990-2178.
What is Carol Nelson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Carol Nelson enrolled in Medicare?
Yes. Carol 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 organizations bill Medicare for Carol Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Nelson reassigns Medicare benefits to 2 organizations: Nelson Neurology, P.C. (Mitchell, SD) and Avera Mckennan (Tea, SD). Each 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 Carol Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Nelson accept?
Health plans from Avera Health Plans, Oscar Insurance Company, Sanford Health Plan and Wellmark of South Dakota, Inc. list Carol 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.
Is Carol Nelson affiliated with any hospitals?
According to CMS data, Carol Nelson is affiliated with Avera Mckennan Hospital & University Health Center, Huron Regional Medical Center and Avera Queen Of Peace.
When was this NPI record last updated?
The NPPES record for Carol Nelson was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Carol B Nelson, MD · NPI 1003823410
Neurology physician in Mitchell, South Dakota. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1003823410 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 3998 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1415 N SANBORN BLVD, Mitchell, SD 57301-1015
- **Phone:** (605) 990-2178 · **Fax:** (605) 990-2179
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Nelson Neurology, P.C. (NPI 1710629241, Mitchell, SD); Avera Mckennan (NPI 1376519116, Tea, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sanford School Of Medicine Of University Of South Dakota, class of 1991
## Record status
- **NPPES last updated:** July 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003823410) · Data from the CMS NPPES public registry.