MICHELE K NELSEN MD
NPI 1093729873
Family Medicine in Renton, WA

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
14410 SE PETROVITSKY RD STE 104, RENTON, WA 98058(256) 903-4054(425) 690-9405 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michele K Nelsen Md NPPES

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

MICHELE K NELSEN MD (NPI 1093729873) is an individual family medicine provider in Renton, Washington, licensed in Washington (MD00035357) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of University Of Washington School Of Medicine (1995).

NPPES Registry Identity

NPI1093729873
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELE K NELSENCredential: MD
Location Address14410 SE PETROVITSKY RD STE 104Renton, WA 98058-8900
Mailing Address3600 Lind Ave Sw, Ste 100 Attn CredentialingRenton, WA 98057-4970 · (425) 690-2715
Fax(425) 690-9405
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1995
Enumeration DateJuly 28, 2006
Last NPPES UpdateMarch 31, 2020
NPPES CertifiedMarch 31, 2020
NPI 1093729873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00035357
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.

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License MD00035357 (WA)
14410 SE PETROVITSKY RD STE 104, Renton, WA 98058

Other Identifiers 2

Medicaid1042822WA
OtherG8891361WA · Medicare W Valley Medical Group - Renton

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

Michele K Nelsen 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 ID2668501404
PECOS Enrollment IDI20100603000526
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 6

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.
208 services105 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.
87 services87 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.
58 services51 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 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.
21 services21 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services13 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98058 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 2

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
8 suppliers20 claims41 services$5.67 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$3.69 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 8

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

Family Medicine
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Family Medicine
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Family Medicine
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Nurse Practitioner
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Family Medicine
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Family Medicine (Sports Medicine)
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Family Medicine
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Physician Assistant (Medical)
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058

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 Michele Nelsen's NPI number?

The NPI number for Michele Nelsen is 1093729873. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Michele Nelsen located?

Michele Nelsen practices at 14410 SE Petrovitsky Rd Ste 104, Renton, WA 98058. The listed phone number is (256) 903-4054.

What is Michele Nelsen's specialty?

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

Is Michele Nelsen enrolled in Medicare?

Yes. Michele Nelsen 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 Michele Nelsen accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michele Nelsen 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 Michele Nelsen affiliated with any hospitals?

According to CMS data, Michele Nelsen is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Michele Nelsen was last updated on March 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.