NICOLE LYNNE NELSON DNP, CRNA
NPI 1376322784
Nurse Anesthetist, Certified Registered in Green Bay, WI

Q: What is Nicole Nelson's NPI number?

The NPI number for Nicole Nelson is 1376322784. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Q: What is Nicole Nelson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Nelson was last updated on May 28, 2024. 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.

Active since September 25, 2023Accepts Medicare Assignment

835 S VAN BUREN ST, GREEN BAY, WI 54301(920) 433-0111 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Nicole Lynne Nelson Dnp, Crna NPPES

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

NICOLE LYNNE NELSON DNP, CRNA (NPI 1376322784) is an individual nurse anesthetist, certified registered in Green Bay, Wisconsin, licensed in Wisconsin (151951) and active in the NPI registry since September 2023. She is affiliated with St Vincent Hospital and is a graduate of Other (2024).

NPPES Registry Identity

NPI1376322784

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameNICOLE LYNNE NELSONCredential: DNP, CRNA

Location Address835 S VAN BUREN STGreen Bay, WI 54301-3526

Mailing AddressN6065 County Road UDe Pere, WI 54115-8903

Phone(920) 433-0111

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 25, 2023

Last NPPES UpdateMay 28, 2024

NPPES CertifiedMay 28, 2024

✔ NPI 1376322784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in WI · 151951

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 236230-30 (WI)

835 S VAN BUREN ST, Green Bay, WI 54301

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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

Nicole Lynne Nelson Dnp, Crna 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 ID8224575089

PECOS Enrollment IDI20240730001892

Hospital Affiliations CMS Care Compare 2

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520075

Location835 S Van Buren StGreen Bay, WI 54301 · Brown County

Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520097

Location1726 Shawano AveGreen Bay, WI 54303 · Brown County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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.

MARY LYNN BARTEL MD

Pediatrics

835 S VAN BUREN ST, ROOM 1041
GREEN BAY, WI 54301

Brown County (920) 496-4700

DR. EKMINI WIJESINGHE MD

Hospitalist

835 S VAN BUREN ST, ST VINCENT HOSPITAL
GREEN BAY, WI 54301

Brown County (920) 272-1586

SALLY SCHLISE MD

Radiology (Radiation Oncology)