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SENORA NELSON MD
NPI 1093855835
General Practice in South Holland, IL

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
901 E SIBLEY BLVD, SOUTH HOLLAND, IL 60473(773) 233-4100(773) 233-4055 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Senora Nelson Md NPPES

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

SENORA NELSON MD (NPI 1093855835) is an individual general practice provider in South Holland, Illinois, licensed in Illinois (036106244) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1996).

NPPES Registry Identity

NPI1093855835
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSENORA NELSONCredential: MD
Location Address901 E SIBLEY BLVDSouth Holland, IL 60473-1166
Mailing AddressPo Box 288080Chicago, IL 60628-8080 · (773) 233-4100 · Fax (773) 233-4055
Phone(773) 233-4100
Fax(773) 233-4055
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1996
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJune 12, 2008
✔ NPI 1093855835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036106244
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
901 E SIBLEY BLVD, South Holland, IL 60473
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Other Identifiers 2

Medicaid036106244IL
Medicare PINK49976

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Senora Nelson 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 ID547283152
PECOS Enrollment IDI20060110000676
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 7

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.
197 services82 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
139 services82 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.
49 services49 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.
32 services32 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.
29 services29 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
28 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

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
9 suppliers29 claims65 services$5.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers16 claims21 services$1.02 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
4 suppliers33 claims33 services$57.23 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.

CHRISTIAN COMMUNITY HOME HEALTH PROFESSIONALS, LLC
Home Health
901 E SIBLEY BLVD
SOUTH HOLLAND, IL 60473
Cook County (708) 333-0518
MRS. JACQUELINE COFFER FNP-C
Nurse Practitioner (Family)
901 E SIBLEY BLVD
SOUTH HOLLAND, IL 60473
Cook County (773) 233-4100
ST MARGARET MERCY HEALTHCARE CENTERS, INC.
Pediatrics
901 E SIBLEY BLVD
SOUTH HOLLAND, IL 60473
Cook County (708) 333-8020
CHRISTIAN COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
901 E SIBLEY BLVD
SOUTH HOLLAND, IL 60473
Cook County (708) 596-4111

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 Senora Nelson's NPI number?

The NPI number for Senora Nelson is 1093855835. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Senora Nelson located?

Senora Nelson practices at 901 E Sibley Blvd, South Holland, IL 60473. The listed phone number is (773) 233-4100.

What is Senora Nelson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Senora Nelson enrolled in Medicare?

Yes. Senora 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 Senora Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Senora 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 Senora Nelson affiliated with any hospitals?

According to CMS data, Senora Nelson is affiliated with Advocate Trinity Hospital and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Senora Nelson was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.