ANDREA NELSON PH.D.
NPI 1265705842
Psychologist in Madison, WI

Active since February 13, 2012PECOS EnrolledAccepts Medicare Assignment
80.22/100
CMS Quality Rating
310 N MIDVALE BLVD STE 202, MADISON, WI 53705(608) 238-9991 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea Nelson Ph.d. NPPES

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

ANDREA NELSON PH.D. (NPI 1265705842) is an individual psychologist in Madison, Wisconsin, licensed in Wisconsin (272257) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1265705842
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameANDREA NELSONCredential: PH.D.
Location Address310 N MIDVALE BLVD STE 202Madison, WI 53705-3265
Mailing Address525 Memphis AveMadison, WI 53714-1512 · (608) 242-9808
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 13, 2012
NPI 1265705842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 272257
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
310 N MIDVALE BLVD STE 202, Madison, WI 53705

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

Andrea Nelson Ph.d. 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 ID8820252646
PECOS Enrollment IDI20120607000255
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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
39 services13 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
39 services12 patients

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.

80.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.06
Promoting Interoperability99
Improvement Activities40
Cost49.83

Other Providers at the Same Location NPPES 14

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

Counselor (Professional)
310 N MIDVALE BLVD STE 202
MADISON, WI 53705
Psychologist (School)
310 N MIDVALE BLVD STE 202
MADISON, WI 53705
Social Worker
310 N MIDVALE BLVD STE 202
MADISON, WI 53705
Social Worker
310 N MIDVALE BLVD STE 202
MADISON, WI 53705
Marriage & Family Therapist
310 N MIDVALE BLVD STE 202
MADISON, WI 53705
Counselor (Mental Health)
310 N MIDVALE BLVD STE 202
MADISON, WI 53705
Counselor (Addiction (Substance Use Disorder))
310 N MIDVALE BLVD STE 202
MADISON, WI 53705
Psychologist (Counseling)
310 N MIDVALE BLVD STE 202
MADISON, WI 53705

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 Andrea Nelson's NPI number?

The NPI number for Andrea Nelson is 1265705842. It was assigned to this individual provider in the NPPES registry on February 13, 2012.

Where is Andrea Nelson located?

Andrea Nelson practices at 310 N Midvale Blvd Ste 202, Madison, WI 53705. The listed phone number is (608) 238-9991.

What is Andrea Nelson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Andrea Nelson enrolled in Medicare?

Yes. Andrea 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 Andrea Nelson accept?

Health plans from Group Health Cooperative-SCW and Quartz list Andrea 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.

When was this NPI record last updated?

The NPPES record for Andrea Nelson was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.