RACHEL K NELLES FNP
NPI 1073530515
Nurse Practitioner - Family in Fargo, ND

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
1702 UNIVERSITY DRIVE SOUTH, FARGO, ND 58103(701) 364-3300 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2018, Jun 18, 2016, Dec 26, 2015 (3 updates tracked since 2015).

About Rachel K Nelles Fnp NPPES

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

RACHEL K NELLES FNP (NPI 1073530515) is an individual family provider in Fargo, North Dakota, licensed in North Dakota (R24684) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and maintains a secondary practice location in Lake Havasu City.

NPPES Registry Identity

NPI1073530515
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL K NELLESCredential: FNP
Location Address1702 UNIVERSITY DRIVE SOUTHFargo, ND 58103-4940
Mailing Address101 Civic Center Ln, Attn: Cancer CenterLake Havasu City, AZ 86403-5607 · (928) 854-0094 · Fax (928) 680-8986
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 5, 20183 updates tracked since enumeration
NPI 1073530515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in ND · R24684 Licensed in AZ · AP8464
Also ListedNurse PractitionerTaxonomy 363L00000X · License R24684 (ND)
1702 UNIVERSITY DRIVE SOUTH, Fargo, ND 58103

Secondary Practice Location 1

Location 11851 Mesquite Ave, Ste. 202Lake Havasu City, AZ 86403-5677 · Phone (928) 854-0094 · Fax (928) 680-8986

Other Identifiers 3

Medicaid116637AZ
Medicaid1462407ND
Medicaid19636ND

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

Rachel K Nelles Fnp 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 ID2567549645
PECOS Enrollment IDI20080415000006
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 4

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.

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.
253 services142 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
149 services76 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.
142 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number240101
Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County
Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers28 claims358 services$18.66 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers28 claims840 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers72 claims252 services$6.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims21 services$1.19 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
5 suppliers36 claims36 services$277.92 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
5 suppliers20 claims2,500 services$7.08 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 2

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
1702 UNIVERSITY DRIVE SOUTH
FARGO, ND 58103
Physical Therapist
1702 UNIVERSITY DRIVE SOUTH
FARGO, ND 58103

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 Rachel Nelles's NPI number?

The NPI number for Rachel Nelles is 1073530515. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Rachel Nelles located?

Rachel Nelles practices at 1702 University Drive South, Fargo, ND 58103. The listed phone number is (701) 364-3300.

What is Rachel Nelles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rachel Nelles enrolled in Medicare?

Yes. Rachel Nelles 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 Rachel Nelles accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Rachel Nelles 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 Rachel Nelles affiliated with any hospitals?

According to CMS data, Rachel Nelles is affiliated with Essentia Health St Marys - Detroit Lakes and Essentia Health.

When was this NPI record last updated?

The NPPES record for Rachel Nelles was last updated on October 5, 2018. 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.