JACALYN A NELSON MD
NPI 1063430833
Internal Medicine - Sleep Medicine in Fitchburg, WI

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
2844 INDEX RD, FITCHBURG, WI 53713(608) 229-7979(608) 229-8110 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacalyn A Nelson Md NPPES

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

JACALYN A NELSON MD (NPI 1063430833) is an individual sleep medicine provider in Fitchburg, Wisconsin, licensed in Wisconsin (49405-20) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Grant Regional Health Center, and is a graduate of University Of Wisconsin School Of Medicine (1990).

NPPES Registry Identity

NPI1063430833
Entity TypeIndividualFemale
Primary Taxonomy207RS0012X
Provider Legal NameJACALYN A NELSONCredential: MD
Location Address2844 INDEX RDFitchburg, WI 53713-3117
Mailing Address2844 Index RdFitchburg, WI 53713-3117 · (608) 229-7979 · Fax (608) 229-8110
Fax(608) 229-8110
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1990
Enumeration DateJuly 18, 2006
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
NPI 1063430833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in WI · 49405-20
Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 49405-020 (WI)
2844 INDEX RD, Fitchburg, WI 53713

Other Identifiers 1

Medicaid1063430833WI

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

Jacalyn A 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 ID7012911902
PECOS Enrollment IDI20060907000327
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 2

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.

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
20 services18 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Grant Regional Health Center

Critical Access Hospitals · Lancaster, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521322
Location507 S Monroe StLancaster, WI 53813 · Grant County
Emergency services

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53713 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
55%64 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
90%67 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%80 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
58%24 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers68 claims68 services$36.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers81 claims81 services$84.72 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers84 claims217 services$33.71 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers44 claims229 services$18.04 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers33 claims179 services$14.44 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers84 claims85 services$53.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner
2844 INDEX RD
FITCHBURG, WI 53713
Internal Medicine (Sleep Medicine)
2844 INDEX RD
FITCHBURG, WI 53713
Internal Medicine (Sleep Medicine)
2844 INDEX RD
FITCHBURG, WI 53713
Physician Assistant
2844 INDEX RD
FITCHBURG, WI 53713
Internal Medicine (Sleep Medicine)
2844 INDEX RD
FITCHBURG, WI 53713
Clinic/Center (Sleep Disorder Diagnostic)
2844 INDEX RD
FITCHBURG, WI 53713
Family Medicine (Sleep Medicine)
2844 INDEX RD
FITCHBURG, WI 53713
Physician Assistant
2844 INDEX RD
FITCHBURG, WI 53713

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 Jacalyn Nelson's NPI number?

The NPI number for Jacalyn Nelson is 1063430833. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Jacalyn Nelson located?

Jacalyn Nelson practices at 2844 Index Rd, Fitchburg, WI 53713. The listed phone number is (608) 229-7979.

What is Jacalyn Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Jacalyn Nelson enrolled in Medicare?

Yes. Jacalyn 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 Jacalyn Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield and Group Health Cooperative-SCW list Jacalyn 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 Jacalyn Nelson affiliated with any hospitals?

According to CMS data, Jacalyn Nelson is affiliated with Grant Regional Health Center and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Jacalyn Nelson was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.