NICOLE RAE NELSON FNP-C
NPI 1194276956
Nurse Practitioner - Family in Sioux Falls, SD

Q: What is Nicole Nelson's NPI number?

The NPI number for Nicole Nelson is 1194276956. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Q: What is Nicole Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Nelson was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 17, 2016PECOS EnrolledAccepts Medicare Assignment

1301 S CLIFF AVE, #610, SIOUX FALLS, SD 57105(605) 322-8860(605) 322-4801 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Rae Nelson Fnp-c NPPES

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

NICOLE RAE NELSON FNP-C (NPI 1194276956) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001159) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1194276956

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE RAE NELSONCredential: FNP-C

Location Address1301 S CLIFF AVE, #610Sioux Falls, SD 57105-1005

Mailing Address1301 S Cliff Ave, #610Sioux Falls, SD 57105-1005 · (605) 322-8860 · Fax (605) 322-4801

Phone(605) 322-8860

Fax(605) 322-4801

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 17, 2016

✔ NPI 1194276956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SD · CP001159

1301 S CLIFF AVE, Sioux Falls, SD 57105

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Accepted Insurance

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

Nicole Rae Nelson Fnp-c 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 ID2961782420

PECOS Enrollment IDI20161129002690

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.

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

15 services15 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

14 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

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 57105 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

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.

PAUL STAMP NP-C

Nurse Practitioner (Family)

1301 S CLIFF AVE, SUITE 610
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-8860

DR. ERIN ELIZABETH QUIST M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1301 S CLIFF AVE, SUITE 700
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-7200

BIRGIT MARTHA HEEREN CNP

Nurse Practitioner

1301 S CLIFF AVE, STE. 601
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-6930

WILLIAM R ROSSING MD

Psychiatry & Neurology (Neurology)

1301 S CLIFF AVE, SUITE 506
SIOUX FALLS, SD 57105

Minnehaha County (605) 335-0844

DR. DREW LOUIS KLINKEBIEL PHARM.D.

Pharmacist

1301 S CLIFF AVE, SUITE 400
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-5750

KACY PETERSON DCLS

Pathology (Clinical Laboratory Director, Non-physician)

1301 S CLIFF AVE
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-7068

DR. ERIK EHLI PHD

Registered Nurse

1301 S CLIFF AVE
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-5976

DR. VICTORIA L. KNUDSEN M.D.

Ophthalmology (Retina Specialist)

1301 S CLIFF AVE, SUITE 220
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-3790

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 Nicole Nelson's NPI number?

The NPI number for Nicole Nelson is 1194276956. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Nicole Nelson located?

Nicole Nelson practices at 1301 S Cliff Ave #610, Sioux Falls, SD 57105. The listed phone number is (605) 322-8860.

What is Nicole Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Nelson enrolled in Medicare?

Yes. Nicole 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 Nicole Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Nicole 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 Nicole Nelson affiliated with any hospitals?

According to CMS data, Nicole Nelson is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Nicole Nelson was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.