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MICHAEL H NELSON PA-C, ATC
NPI 1033403936
Physician Assistant in Owosso, MI

Active since June 08, 2011PECOS EnrolledAccepts Medicare Assignment
56.42/100
CMS Quality Rating
818 W KING ST STE 301, OWOSSO, MI 48867(989) 729-4800(989) 729-4810 Get Directions Write a Review

NPPES record last updated: January 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael H Nelson Pa-c, Atc NPPES

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

MICHAEL H NELSON PA-C, ATC (NPI 1033403936) is an individual physician assistant in Owosso, Michigan, licensed in Michigan (5601005998) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1033403936
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL H NELSONCredential: PA-C, ATC
Location Address818 W KING ST STE 301Owosso, MI 48867-2117
Mailing Address818 W King St Ste 301Owosso, MI 48867-2117 · (989) 729-4800 · Fax (989) 729-4810
Phone(989) 729-4800
Fax(989) 729-4810
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 8, 2011
Last NPPES UpdateJanuary 18, 2016
✔ NPI 1033403936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601005998
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
818 W KING ST STE 301, Owosso, MI 48867
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Other Identifiers 2

Medicaid1033403936MI
Medicare PINN57610021MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Michael H Nelson Pa-c, Atc 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 ID9436323094
PECOS Enrollment IDI20111116000215
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 5

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
87 services64 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.
52 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Healthcare

Acute Care Hospitals · Owosso, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230121
Location826 West King StreetOwosso, MI 48867 · Shiawassee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48867 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

56.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability0
Improvement Activities40
Cost60.06

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DIANE CAROL ZUCKSCHWERDT MA,CCC-A
Audiologist-Hearing Aid Fitter
818 W KING ST STE 301
OWOSSO, MI 48867
Shiawassee County (989) 729-4800

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 Michael Nelson's NPI number?

The NPI number for Michael Nelson is 1033403936. It was assigned to this individual provider in the NPPES registry on June 8, 2011.

Where is Michael Nelson located?

Michael Nelson practices at 818 W King St Ste 301, Owosso, MI 48867. The listed phone number is (989) 729-4800.

What is Michael Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Nelson enrolled in Medicare?

Yes. Michael 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 Michael Nelson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Michael 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 Michael Nelson affiliated with any hospitals?

According to CMS data, Michael Nelson is affiliated with Memorial Healthcare.

When was this NPI record last updated?

The NPPES record for Michael Nelson was last updated on January 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.