EMELIA NELSON NP
NPI 1235816273
Nurse Practitioner - Family in Sioux Falls, SD

Active since June 30, 2023PECOS EnrolledAccepts Medicare Assignment
1301 W 18TH ST, SIOUX FALLS, SD 57105(605) 322-2200 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Aug 7, 2023 (2 updates tracked since 2023).

About Emelia Nelson Np NPPES

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

EMELIA NELSON NP (NPI 1235816273) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP002865) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Milbank Area Hospital/avera Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235816273
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMELIA NELSONCredential: NP
Location Address1301 W 18TH STSioux Falls, SD 57105-0401
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 30, 2023
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1235816273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SD · CP002865
Also ListedNurse PractitionerTaxonomy 363L00000X · License CP002865 (SD)
1301 W 18TH ST, Sioux Falls, SD 57105

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

Emelia Nelson Np 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 ID7810351673
PECOS Enrollment IDI20230912002336
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 2

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.
40 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Milbank Area Hospital/Avera Health

Critical Access Hospitals · Milbank, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431326
Location301 Flynn DriveMilbank, SD 57252 · Grant County
Emergency services

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.

Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Cardiovascular Disease)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Cardiovascular Disease)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Physician Assistant
1301 W 18TH ST
SIOUX FALLS, SD 57105
Physician Assistant
1301 W 18TH ST
SIOUX FALLS, SD 57105

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 Emelia Nelson's NPI number?

The NPI number for Emelia Nelson is 1235816273. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Where is Emelia Nelson located?

Emelia Nelson practices at 1301 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 322-2200.

What is Emelia Nelson's specialty?

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

Is Emelia Nelson enrolled in Medicare?

Yes. Emelia 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 Emelia Nelson accept?

Health plans from Avera Health Plans and Medica list Emelia 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 Emelia Nelson affiliated with any hospitals?

According to CMS data, Emelia Nelson is affiliated with Milbank Area Hospital/Avera Health.

When was this NPI record last updated?

The NPPES record for Emelia Nelson was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.