AUDWIN B NELSON MD P A
NPI 1104064245
Internal Medicine in Sebring, FL
About Audwin B Nelson Md P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDWIN B NELSON MD P A (NPI 1104064245) is a healthcare organization registered as an internal medicine in Sebring, Florida and active in the NPI registry since January 2009. The organization lists Audwin Bruce Nelson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Audwin B Nelson Md P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Audwin B Nelson MD P A, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Audwin B Nelson MD P A's NPI number?
The NPI number for Audwin B Nelson MD P A is 1104064245. It was assigned to this organization in the NPPES registry on January 28, 2009.
Where is Audwin B Nelson MD P A located?
Audwin B Nelson MD P A is located at 4215 Sun N Lake Blvd, Sebring, FL 33872. The listed phone number is (863) 471-2320.
What is Audwin B Nelson MD P A's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Audwin B Nelson MD P A enrolled in Medicare?
Yes. Audwin B Nelson MD P A is registered in the Medicare PECOS enrollment system.
When is Audwin B Nelson MD P A's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Audwin B Nelson MD P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Audwin B Nelson MD P A, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Audwin B Nelson MD P A was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Audwin B Nelson Md P A · NPI 1104064245
Internal Medicine organization in Sebring, Florida. Organization record, active in the CMS NPPES registry since January 28, 2009.
## Identity
- **NPI:** 1104064245 (Entity type: Organization)
- **Enumerated:** January 28, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Audwin Nelson, PRESIDENT
## Practice location
- **Address:** 4215 SUN N LAKE BLVD, Sebring, FL 33872-2158
- **Phone:** (863) 471-2320 · **Fax:** (863) 471-2101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2010
- **Other identifiers:** Medicaid 266302300 (FL); Medicare PIN BN716A (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1104064245) · Data from the CMS NPPES public registry.