Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MIRA ROSE NELSON MD
NPI 1073018321
Family Medicine in Port Angeles, WA

Active since March 28, 2018PECOS Enrolled
240 W FRONT ST STE A, PORT ANGELES, WA 98362(360) 452-7891 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 14, 2026, Nov 5, 2021, Jun 9, 2021 and 1 more (4 updates tracked since 2018).

About Mira Rose Nelson Md NPPES

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

MIRA ROSE NELSON MD (NPI 1073018321) is an individual family medicine provider in Port Angeles, Washington, licensed in Washington (MD61066210) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Olympic Medical Center, and maintains a secondary practice location in Port Angeles.

NPPES Registry Identity

NPI1073018321
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMIRA ROSE NELSONCredential: MD
Location Address240 W FRONT ST STE APort Angeles, WA 98362-2609
Mailing Address240 W Front St Ste APort Angeles, WA 98362-2609 · (360) 452-7891 · Fax (360) 452-8087
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2018
Enumeration DateMarch 28, 2018
Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1073018321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD61066210
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

240 W FRONT ST STE A, Port Angeles, WA 98362

Secondary Practice Location 1

Location 1933 E 1st StPort Angeles, WA 98362-4012 · Phone (360) 452-7891 · Fax (360) 452-8087

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

Mira Rose 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 ID7517368780
PECOS Enrollment IDI20210624003025
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
74 services32 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services16 patients

Hospital Affiliations CMS Care Compare

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

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98362 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$25.41 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 20

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

Family Medicine
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Family Medicine
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Physician Assistant (Medical)
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Hospitalist
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Nurse Practitioner (Family)
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Counselor (Mental Health)
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Family Medicine
240 W FRONT ST STE A
PORT ANGELES, WA 98362
Pharmacist
240 W FRONT ST STE A
PORT ANGELES, WA 98362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073018321, enumerated as an "individual" on March 28, 2018.

The provider is located at 240 W FRONT ST STE A PORT ANGELES, WA 98362 and the phone number is (360) 452-7891.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.

Mira Nelson is affiliated with: OLYMPIC MEDICAL CENTER.