DR. ANDREA J NELSEN M.D.
NPI 1043442700
Psychiatry & Neurology - Psychiatry in Kamuela, HI
About Dr. Andrea J Nelsen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREA J NELSEN M.D. (NPI 1043442700) is an individual psychiatry provider in Kamuela, Hawaii, licensed in Hawaii (MD-24217) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Andrea J Nelsen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Andrea Nelsen reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kamuela, HI 96743
- Reassigned Medicare billing, Hawaii enrollment
- 14 clinicians in this Medicare group
Dickinson, ND 58601
- Reassigned Medicare billing, North Dakota enrollment
- 779 clinicians in this Medicare group
Fargo, ND 58103
- Reassigned Medicare billing, North Dakota enrollment
- 65 clinicians in this Medicare group
Bagley, MN 56621
- Reassigned Medicare billing, Minnesota enrollment
- 607 clinicians in this Medicare group
New Brighton, MN 55112
- Reassigned Medicare billing, Minnesota enrollment
- 794 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 127 clinicians in this Medicare group
Jacksonville, NC 28546
- Reassigned Medicare billing, North Carolina enrollment
- 39 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96743 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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KAMUELA, HI 96743
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 Andrea Nelsen's NPI number?
The NPI number for Andrea Nelsen is 1043442700. It was assigned to this individual provider in the NPPES registry on August 13, 2009.
Where is Andrea Nelsen located?
Andrea Nelsen practices at 64-1035 Mamalahoa Hwy Ste F, Kamuela, HI 96743. The listed phone number is (808) 885-5900.
What is Andrea Nelsen's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Andrea Nelsen enrolled in Medicare?
Yes. Andrea Nelsen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Andrea Nelsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Nelsen reassigns Medicare benefits to 7 organizations: Five Mountains Hawaii, Inc (Kamuela, HI), Sanford Bismarck (Dickinson, ND), Psj Acquisition LLC (Fargo, ND), Sanford Health Of Northern Minnesota (Bagley, MN), Nystrom & Associates, Ltd (New Brighton, MN) and 2 more organizations, listed in the Medicare section above. 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 Andrea Nelsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Nelsen accept?
Health plans from Sanford Health Plan and Security Health Plan list Andrea Nelsen 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.
When was this NPI record last updated?
The NPPES record for Andrea Nelsen was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Andrea J Nelsen, M.D. · NPI 1043442700
Psychiatry physician in Kamuela, Hawaii. Individual provider, active in the CMS NPPES registry since August 13, 2009.
## Identity
- **NPI:** 1043442700 (Entity type: Individual)
- **Enumerated:** August 13, 2009
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** MD-24217 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 64-1035 MAMALAHOA HWY STE F, Kamuela, HI 96743-8440
- **Phone:** (808) 885-5900 · **Fax:** (808) 885-6900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Five Mountains Hawaii, Inc (NPI 1215359989, Kamuela, HI); Sanford Bismarck (NPI 1669524351, Dickinson, ND); Psj Acquisition LLC (NPI 1720454267, Fargo, ND); Sanford Health Of Northern Minnesota (NPI 1972875490, Bagley, MN); Nystrom & Associates, Ltd (NPI 1396750188, New Brighton, MN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043442700) · Data from the CMS NPPES public registry.