1. Home
  2. Directory
  3. Iowa
  4. Spirit Lake
  5. Family Medicine
  6. NPI Profile

WHITNEY NELSON
NPI 1093208613
Family Medicine in Spirit Lake, IA

Active since June 08, 2018PECOS EnrolledAccepts Medicare Assignment
2301 HIGHWAY 71, SPIRIT LAKE, IA 51360(712) 336-1230 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Whitney Nelson NPPES

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

WHITNEY NELSON (NPI 1093208613) is an individual family medicine provider in Spirit Lake, Iowa, licensed in Kansas (94-09561) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093208613
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameWHITNEY NELSON
Location Address2301 HIGHWAY 71Spirit Lake, IA 51360-1185
Mailing Address2301 Highway 71Spirit Lake, IA 51360-1185 · (712) 336-1230
Phone(712) 336-1230
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 8, 2018
Last NPPES UpdateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1093208613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 94-09561
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.
2301 HIGHWAY 71, Spirit Lake, IA 51360
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Sanford Health Plan.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

Whitney Nelson 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 ID8527317932
PECOS Enrollment IDI20210723000987
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.
474 services194 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.
165 services131 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
104 services63 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
56 services53 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.
52 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services47 patients

Hospital Affiliations CMS Care Compare 4

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160124
Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County
Emergency services Birthing friendly

Avera Holy Family Hospital

Critical Access Hospitals · Estherville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161351
Location826 North 8th StreetEstherville, IA 51334 · Emmet County
Emergency services

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51360 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 10

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 suppliers35 claims64 services$5.77 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims13 services$1.13 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier12 claims12 services$814.02 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers18 claims18 services$18.58 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers19 claims19 services$55.74 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$60.73 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 7

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

MR. WILLIAM JACKSON KNOER ARNP
Nurse Practitioner (Family)
2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-1230
LAKES REGIONAL HEALTHCARE
Internal Medicine (Medical Oncology)
2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-1230
LAKES REGIONAL HEALTHCARE
Medicare Defined Swing Bed Unit
2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-1230
LAKES REGIONAL HEALTHCARE
General Acute Care Hospital
2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-1230
NINA ROHLING CRNA
Nurse Anesthetist, Certified Registered
2301 HIGHWAY 71, PO BOX AB
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-1230
LAKES REGIONAL HEALTHCARE
Surgery
2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-8796
LAKES REGIONAL HEALTHCARE
Home Health
2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-1230

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 Whitney Nelson's NPI number?

The NPI number for Whitney Nelson is 1093208613. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Whitney Nelson located?

Whitney Nelson practices at 2301 Highway 71, Spirit Lake, IA 51360. The listed phone number is (712) 336-1230.

What is Whitney Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Whitney Nelson enrolled in Medicare?

Yes. Whitney Nelson 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 Whitney Nelson accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Whitney Nelson 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 Whitney Nelson affiliated with any hospitals?

According to CMS data, Whitney Nelson is affiliated with Spencer Municipal Hospital, Lakes Regional Healthcare, Avera Holy Family Hospital and Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Whitney Nelson was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.