MARK L NELSON
NPI 1023464468
Family Medicine in Minneapolis, MN
About Mark L Nelson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK L NELSON (NPI 1023464468) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (62594) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses 2
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
Mark L Nelson 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
5Medicare enrollment records show Mark Nelson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55415
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 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 6
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Mark Nelson's NPI number?
The NPI number for Mark Nelson is 1023464468. It was assigned to this individual provider in the NPPES registry on May 4, 2016.
Where is Mark Nelson located?
Mark Nelson practices at 901 S 2nd St, Minneapolis, MN 55415. The listed phone number is (612) 338-1383.
What is Mark Nelson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Nelson enrolled in Medicare?
Yes. Mark 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 Mark Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Nelson reassigns Medicare benefits to 5 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), Fairview Clinics (Minneapolis, MN), Fairview Health Services (Minneapolis, MN) and Fairview Specialty Services (Minneapolis, MN). 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 Mark Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Nelson accept?
Health plans from Sanford Health Plan list Mark 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 Mark Nelson affiliated with any hospitals?
According to CMS data, Mark Nelson is affiliated with M Health Fairview Southdale Hospital and M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Mark Nelson was last updated on May 28, 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.
# Mark L Nelson · NPI 1023464468
Family Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since May 4, 2016.
## Identity
- **NPI:** 1023464468 (Entity type: Individual)
- **Enumerated:** May 4, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 62594 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 901 S 2ND ST, Minneapolis, MN 55415-1289
- **Phone:** (612) 338-1383
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): University Of Minnesota Physicians (NPI 1124274527, Minneapolis, MN); Fairview Express Care (NPI 1053952606, Minneapolis, MN); Fairview Clinics (NPI 1043516867, Minneapolis, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2016
## Record status
- **NPPES last updated:** May 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1023464468) · Data from the CMS NPPES public registry.