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DR. ANDREW KARL NIELSEN M.D.
NPI 1093155913
Internal Medicine in Columbia, TN

Active since June 25, 2013PECOS Enrolled
76.78/100
CMS Quality Rating
854 W JAMES M CAMPBELL BLVD STE 403, COLUMBIA, TN 38401(931) 380-0075(931) 388-7502 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 7, 2019, Jun 19, 2017 (2 updates tracked since 2017).

About Dr. Andrew Karl Nielsen M.d. NPPES

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

DR. ANDREW KARL NIELSEN M.D. (NPI 1093155913) is an individual internal medicine provider in Columbia, Tennessee, licensed in Tennessee (57809) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093155913
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANDREW KARL NIELSENCredential: M.D.
Location Address854 W JAMES M CAMPBELL BLVD STE 403Columbia, TN 38401-4659
Mailing Address854 W James M Campbell Blvd Ste 303Columbia, TN 38401-4672 · (931) 380-0075 · Fax (931) 388-7502
Phone(931) 380-0075
Fax(931) 388-7502
Sole ProprietorNo
Enumeration DateJune 25, 2013
Last NPPES UpdateFebruary 7, 20192 updates tracked since enumeration
✔ NPI 1093155913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 57809
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.
Also ListedPediatricsTaxonomy 208000000X · License 57809 (TN)
854 W JAMES M CAMPBELL BLVD STE 403, Columbia, TN 38401
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Other Identifiers 1

Medicaid3710089TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Karl Nielsen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

76.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.24
Promoting Interoperability100
Improvement Activities40
Cost54.37

Referred Medical Equipment & Supplies CMS DME claims 7

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
15 suppliers79 claims177 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers23 claims27 services$1.09 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims72 services$1.83 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers33 claims33 services$16.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers82 claims82 services$83.98 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier42 claims42 services$33.51 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 4

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

KELSEY KING-HOOK MD
Family Medicine
854 W JAMES M CAMPBELL BLVD STE 403
COLUMBIA, TN 38401
Maury County (931) 380-0075
DR. ALYSSA DICKERSON DO
Family Medicine
854 W JAMES M CAMPBELL BLVD STE 403
COLUMBIA, TN 38401
Maury County (931) 380-0075
MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER
Clinic/Center (Rural Health)
854 W JAMES M CAMPBELL BLVD STE 403
COLUMBIA, TN 38401
Maury County (931) 380-0075
DR. JOHN R. ROBERTS D.O.
Family Medicine
854 W JAMES M CAMPBELL BLVD STE 403
COLUMBIA, TN 38401
Maury County (931) 380-0075

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 Andrew Nielsen's NPI number?

The NPI number for Andrew Nielsen is 1093155913. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Andrew Nielsen located?

Andrew Nielsen practices at 854 W James M Campbell Blvd Ste 403, Columbia, TN 38401. The listed phone number is (931) 380-0075.

What is Andrew Nielsen's specialty?

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

Is Andrew Nielsen enrolled in Medicare?

Yes. Andrew Nielsen is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Nielsen accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Andrew Nielsen 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 Andrew Nielsen was last updated on February 7, 2019. 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.