CARMEN DAWNETTE NELSON APRN
NPI 1275235251
Nurse Practitioner - Family in Coldwater, KS

Active since March 21, 2023PECOS EnrolledAccepts Medicare Assignment
301 S WASHINGTON ST, COLDWATER, KS 67029(620) 582-2136 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carmen Dawnette Nelson Aprn NPPES

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

CARMEN DAWNETTE NELSON APRN (NPI 1275235251) is an individual family provider in Coldwater, Kansas, licensed in Kansas (53-82016-92) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Pratt Regional Medical Center, and maintains a secondary practice location in Coldwater.

NPPES Registry Identity

NPI1275235251
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARMEN DAWNETTE NELSONCredential: APRN
Location Address301 S WASHINGTON STColdwater, KS 67029-9758
Mailing AddressPo Box 296Coldwater, KS 67029-0296 · (620) 582-5226
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 14, 2023
✔ NPI 1275235251 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 KS · 53-82016-92
301 S WASHINGTON ST, Coldwater, KS 67029

Other Names 1

Former Name (1)Carmen Dawnette Thompson

Secondary Practice Location 1

Location 1202 S Frisco StColdwater, KS 67029-9101 · Phone (620) 528-2144

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carmen Dawnette Nelson Aprn 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 ID2365807864
PECOS Enrollment IDI20230507000037
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.

Medicare Billing Reassignment

Medicare enrollment records show Carmen Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
301 S WASHINTON
Coldwater, KS 67029
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1003845652 (Kansas)
  • 7 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
69 services34 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.
17 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Pratt Regional Medical Center

Acute Care Hospitals · Pratt, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170027
Location200 Commodore StPratt, KS 67124 · Pratt County
Emergency services Birthing friendly

Comanche County Hospital

Critical Access Hospitals · Coldwater, KS
OwnershipGovernment - Local
CMS Certification Number171312
Location202 S Frisco StreetColdwater, KS 67029 · Comanche County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67029 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 2

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

Family Medicine
301 S WASHINGTON ST
COLDWATER, KS 67029
Nurse Practitioner (Family)
301 S WASHINGTON ST
COLDWATER, KS 67029

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 Carmen Nelson's NPI number?

The NPI number for Carmen Nelson is 1275235251. It was assigned to this individual provider in the NPPES registry on March 21, 2023. The provider is also known as Carmen Dawnette Thompson.

Where is Carmen Nelson located?

Carmen Nelson practices at 301 S Washington St, Coldwater, KS 67029. The listed phone number is (620) 582-2136.

What is Carmen Nelson's specialty?

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

Is Carmen Nelson enrolled in Medicare?

Yes. Carmen 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.

Which organization bills Medicare for Carmen Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Nelson reassigns Medicare benefits to Comanche County Hospital (Coldwater, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmen Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Carmen 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 Carmen Nelson affiliated with any hospitals?

According to CMS data, Carmen Nelson is affiliated with Pratt Regional Medical Center and Comanche County Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Nelson was last updated on March 21, 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.