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DR. RISA M NIELSEN MD
NPI 1083621742
Internal Medicine in St Croix, VI

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
54.57/100
CMS Quality Rating
BEESTON HILL MEDICAL CENTER, SUITE 12, ST CROIX, VI 00820(340) 778-6680(340) 778-8869 Get Directions Write a Review

NPPES record last updated: February 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Risa M Nielsen Md NPPES

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

DR. RISA M NIELSEN MD (NPI 1083621742) is an individual internal medicine provider in St Croix, Virgin Islands, licensed in Virgin Islands (1251) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Gov Juan F Luis Hospital & Medical Ctr, and is a graduate of Harvard Medical School (1997).

NPPES Registry Identity

NPI1083621742
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. RISA M NIELSENCredential: MD
Location AddressBEESTON HILL MEDICAL CENTER, SUITE 12St Croix, VI 00820
Mailing AddressPo Box 1206Kingshill, VI 00851-1206 · (340) 778-6680 · Fax (340) 778-8869
Phone(340) 778-6680
Fax(340) 778-8869
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 1997
Enumeration DateAugust 2, 2006
Last NPPES UpdateFebruary 6, 2022
NPPES CertifiedFebruary 6, 2022
✔ NPI 1083621742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VI · 1251
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

Dr. Risa M Nielsen 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 ID7810987658
PECOS Enrollment IDI20040514000227
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 10

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.
408 services202 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.
217 services140 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
125 services125 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
110 services110 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
66 services61 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
48 services46 patients

Hospital Affiliations CMS Care Compare

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

Gov Juan F Luis Hospital & Medical Ctr

Acute Care Hospitals · St Croix, VI
OwnershipGovernment - State
CMS Certification Number480002
Location#4007 Est Diamond Ruby, ChristianstedSt Croix, VI 00820 · Saint Croix Island County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00820 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

54.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.3
Improvement Activities0
Cost96.18

Reported Quality Measures

Breast Cancer Screening
34%264 patients2/55-star benchmark: 93%
Colorectal Cancer Screening
33%438 patients2/55-star benchmark: 88%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
16%70 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
27%2,387 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
41%739 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
32%717 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 43% · 636 patients
43%636 patients
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 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers72 claims177 services$6.48 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers36 claims36 services$2.94 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
4 suppliers19 claims19 services$1.82 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers49 claims70 services$1.20 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,980 services$1.40 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier25 claims25 services$72.36 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.

NUTRITION & CAKE LLC
Dietitian, Registered
BEESTON HILL MEDICAL CENTER, SUITE 4
CHRISTIANSTED, VI 00820
St. Croix Island (340) 513-6101
DR. JOHN CHARLES PEREZ MD
Specialist
BEESTON HILL MEDICAL CENTER, SUITE #7
CHRISTIANSTED, VI 00820
St. Croix Island (340) 719-0001

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 Risa Nielsen's NPI number?

The NPI number for Risa Nielsen is 1083621742. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Risa Nielsen located?

Risa Nielsen practices at Beeston Hill Medical Center Suite 12, St Croix, VI 00820. The listed phone number is (340) 778-6680.

What is Risa Nielsen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Risa Nielsen enrolled in Medicare?

Yes. Risa Nielsen 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.

Is Risa Nielsen affiliated with any hospitals?

According to CMS data, Risa Nielsen is affiliated with Gov Juan F Luis Hospital & Medical Ctr.

When was this NPI record last updated?

The NPPES record for Risa Nielsen was last updated on February 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.