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NICHOLLS NELSON MD
NPI 1194257212
Emergency Medicine in Louisville, KY

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
87.96/100
CMS Quality Rating
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217(502) 634-6767 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2020, Jun 19, 2020, May 21, 2020 and 2 more (5 updates tracked since 2017).

About Nicholls Nelson Md NPPES

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

NICHOLLS NELSON MD (NPI 1194257212) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (53927) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2020).

NPPES Registry Identity

NPI1194257212
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNICHOLLS NELSONCredential: MD
Location Address1 AUDUBON PLAZA DRLouisville, KY 40217-1318
Mailing AddressPo Box 36218Louisville, KY 40233-6218 · (502) 634-6767 · Fax (502) 634-6775
Phone(502) 634-6767
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2020
Enumeration DateMarch 29, 2017
Last NPPES UpdateJuly 20, 20205 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1194257212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KY · 53927
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 AUDUBON PLAZA DR, Louisville, KY 40217
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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

Nicholls 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 ID4284983180
PECOS Enrollment IDI20220810002379
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
30 services30 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
15 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $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.

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.

87.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.43
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

COREY WARF M.D.
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7225
MICHAEL DYLAN COOPER BSN, RN
Registered Nurse (Administrator)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (606) 282-0971
DR. RANDALL JOSHUA CAMPBELL M.D.
Anesthesiology
1 AUDUBON PLAZA DR, ATTN: RUBY POLTNER
LOUISVILLE, KY 40217
Jefferson County (502) 636-7160
LAUREN FLAHERTY PA-C
Physician Assistant
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 634-6767
ADAM LEHNIG MD
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7255
DR. BRETT ALLEN MILLER M.D.
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 634-6767
ELVIS U NJERE D.O
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7225
JACKSON GEORGE UNTERINER MD
Radiology (Diagnostic Radiology)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 447-8786

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 Nicholls Nelson's NPI number?

The NPI number for Nicholls Nelson is 1194257212. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Nicholls Nelson located?

Nicholls Nelson practices at 1 Audubon Plaza Dr, Louisville, KY 40217. The listed phone number is (502) 634-6767.

What is Nicholls Nelson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholls Nelson enrolled in Medicare?

Yes. Nicholls 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.

When was this NPI record last updated?

The NPPES record for Nicholls Nelson was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.