DR. DEREK JAMES NELSON DO
NPI 1275854242
Physical Medicine & Rehabilitation in Saint Paul, MN

Active since June 14, 2010PECOS EnrolledAccepts Medicare Assignment
280 SMITH AVE N STE 220, SAINT PAUL, MN 55102(651) 241-8295 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2020, Feb 16, 2016 (2 updates tracked since 2016).

About Dr. Derek James Nelson Do NPPES

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

DR. DEREK JAMES NELSON DO (NPI 1275854242) is an individual physical medicine & rehabilitation provider in Saint Paul, Minnesota, licensed in Minnesota (54534) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2010).

NPPES Registry Identity

NPI1275854242
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. DEREK JAMES NELSONCredential: DO
Location Address280 SMITH AVE N STE 220Saint Paul, MN 55102-2459
Mailing AddressPo Box 74008272Chicago, IL 60674-8272 · (702) 899-0595 · Fax (702) 977-1496
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2010
Enumeration DateJune 14, 2010
Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
NPI 1275854242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in MN · 54534
Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Also ListedInternal MedicineTaxonomy 207R00000X · License R8924 (IA)
280 SMITH AVE N STE 220, Saint Paul, MN 55102

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

Dr. Derek James Nelson Do 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 ID2961673488
PECOS Enrollment IDI20110914000008
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
991 services247 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
269 services257 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
115 services34 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
57 services45 patients
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.
55 services34 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
28 services14 patients

Hospital Affiliations CMS Care Compare

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
2 suppliers14 claims14 services$11.77 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers14 claims22 services$12.98 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$159.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Physical Medicine & Rehabilitation
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Psychologist (Clinical)
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Psychologist
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Physical Medicine & Rehabilitation
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Physical Medicine & Rehabilitation (Pain Medicine)
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Psychologist
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Psychologist
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Nurse Practitioner (Adult Health)
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275854242, enumerated as an "individual" on June 14, 2010.

The provider is located at 280 SMITH AVE N STE 220 SAINT PAUL, MN 55102 and the phone number is (651) 241-8295.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.

Derek Nelson is affiliated with: ALLINA UNITED HOSPITAL.