SARAH JANE NELSON MD
NPI 1013335819
Psychiatry & Neurology - Psychiatry in Duluth, MN

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sarah Jane Nelson Md NPPES

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

SARAH JANE NELSON MD (NPI 1013335819) is an individual psychiatry provider in Duluth, Minnesota, licensed in Minnesota (65656) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1013335819
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSARAH JANE NELSONCredential: MD
Location Address400 E 3RD STDuluth, MN 55805
Mailing Address400 E 3rd StDuluth, MN 55805-1951
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 31, 2014
Last NPPES UpdateJuly 19, 2019
NPI 1013335819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MN · 65656
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 65656 (MN)
400 E 3RD ST, Duluth, MN 55805

Secondary Practice Location 1

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111

Accepted Insurance

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

Sarah Jane 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.

PECOS PAC ID9931436755
PECOS Enrollment IDI20190815003318, I20210621003220
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
94 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services22 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
32 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Anesthetist, Certified Registered
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine (Infectious Disease)
400 E 3RD ST
DULUTH, MN 55805
Nurse Practitioner (Psychiatric/Mental Health)
400 E 3RD ST
DULUTH, MN 55805
Hospitalist
400 E 3RD ST
DULUTH, MN 55805
Radiology (Diagnostic Radiology)
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine (Cardiovascular Disease)
400 E 3RD ST
DULUTH, MN 55805
Clinical Nurse Specialist (Medical-Surgical)
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine
400 E 3RD ST
DULUTH, MN 55805

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 Sarah Nelson's NPI number?

The NPI number for Sarah Nelson is 1013335819. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Sarah Nelson located?

Sarah Nelson practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Sarah Nelson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sarah Nelson enrolled in Medicare?

Yes. Sarah 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.

What insurance does Sarah Nelson accept?

Health plans from Sanford Health Plan list Sarah 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 Sarah Nelson affiliated with any hospitals?

According to CMS data, Sarah Nelson is affiliated with Essentia Health Duluth and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Sarah Nelson was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.