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

Q: 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.

Q: What is Andrew Nielsen's specialty?

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

Q: 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.

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: October 18, 2026.

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

On this page

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, is affiliated with Maury Regional Hospital, and is a graduate of Other (2013).

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

Medical School CMSOtherGraduated 2013

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

Open in Google Maps ↗

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 Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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).

PECOS PAC ID1254650146

PECOS Enrollment IDI20181115001161

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.

Medicare Billing Reassignments

Medicare enrollment records show Andrew Nielsen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Health Group Inc

Same address

Anesthesiology

854 W JAMES CAMPBELL BLVD
Columbia, TN 38401

Reassigned Medicare billing, Tennessee enrollment
Medicare enrollment name: Maury Regional Medical Group, Inc
228 clinicians in this Medicare group

NPI 1134553878 (931) 540-4255

Maury Regional Hospital

0.5 mi

Federally Qualified Health Center (FQHC)

1222 TROTWOOD AVE STE 603
Columbia, TN 38401

Reassigned Medicare billing, Tennessee enrollment
49 clinicians in this Medicare group

NPI 1194378083 (931) 490-1295

Community Hospices Of America - Tennessee, LLC

50 mi

Hospice and Palliative Medicine

1805 N JACKSON ST, SUITE 11 & 12
Tullahoma, TN 37388

Reassigned Medicare billing, Tennessee enrollment
17 clinicians in this Medicare group

NPI 1548710981 (931) 455-9118

University Medical Associates

446 mi

Multi-Specialty

2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
2,594 clinicians in this Medicare group

NPI 1760413835 (843) 792-1414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440073

Location1224 Trotwood AveColumbia, TN 38401 · Maury County

Emergency services Birthing friendly

Marshall Medical Center

Critical Access Hospitals · Lewisburg, TN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number441309

Location1080 North Ellington ParkwayLewisburg, TN 37091 · Marshall County

Emergency services

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

Quality

68.24

Promoting Interoperability

100

Improvement Activities

Cost

54.37

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.

Which organizations bill Medicare for Andrew Nielsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Nielsen reassigns Medicare benefits to 4 organizations: Family Health Group Inc (Columbia, TN), Maury Regional Hospital (Columbia, TN), Community Hospices Of America - Tennessee, LLC (Tullahoma, TN) and University Medical Associates (Charleston, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Nielsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Nielsen accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 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.

Is Andrew Nielsen affiliated with any hospitals?

According to CMS data, Andrew Nielsen is affiliated with Maury Regional Hospital and Marshall Medical Center.

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.