LUKE SHERMAN NELSON
NPI 1205396157
Internal Medicine - Hospice and Palliative Medicine in Kansas City, KS

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
3901 RAINBOW BLVD # MS 2027, KANSAS CITY, KS 66160(913) 588-3794 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luke Sherman Nelson NPPES

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

LUKE SHERMAN NELSON (NPI 1205396157) is an individual hospice and palliative medicine provider in Kansas City, Kansas, licensed in Kansas (04-47692) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1205396157
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameLUKE SHERMAN NELSON
Location Address3901 RAINBOW BLVD # MS 2027Kansas City, KS 66160
Mailing Address3901 Rainbow Blvd # Ms 1020Kansas City, KS 66160-8500 · (913) 588-3807 · Fax (913) 588-3877
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
NPI 1205396157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License Licensed in KS · 04-47692
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
3901 RAINBOW BLVD # MS 2027, Kansas City, KS 66160

Secondary Practice Location 1

Location 18701 W Watertown Plank RdMilwaukee, WI 53226-3548 · Phone (414) 955-8246

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

Luke Sherman Nelson 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 ID1153656855
PECOS Enrollment IDI20230801002269, I20230928000362
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
164 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
100 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
94 services90 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
72 services59 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services15 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
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.

Internal Medicine
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Internal Medicine
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Radiology (Diagnostic Radiology)
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Internal Medicine
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Internal Medicine
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Internal Medicine
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160
Internal Medicine
3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS 66160

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 Luke Nelson's NPI number?

The NPI number for Luke Nelson is 1205396157. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Luke Nelson located?

Luke Nelson practices at 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160. The listed phone number is (913) 588-3794.

What is Luke Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Luke Nelson enrolled in Medicare?

Yes. Luke 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 Luke Nelson accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list Luke 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 Luke Nelson affiliated with any hospitals?

According to CMS data, Luke Nelson is affiliated with University Of Kansas Hospital.

When was this NPI record last updated?

The NPPES record for Luke Nelson was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.