JOSIAH D NELSON MD
NPI 1376595074
Urology in Eau Claire, WI

Q: What is Josiah Nelson's NPI number?

The NPI number for Josiah Nelson is 1376595074. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Josiah Nelson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Josiah Nelson was last updated on September 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 May 17, 2006PECOS EnrolledAccepts Medicare Assignment

79.01/100

CMS Quality Rating

3217 STEIN BOULEVARD, EAU CLAIRE, WI 54701(715) 835-6548(715) 835-7708 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Josiah D Nelson Md NPPES

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

JOSIAH D NELSON MD (NPI 1376595074) is an individual urology provider in Eau Claire, Wisconsin, licensed in Wisconsin (48491-020) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1376595074

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameJOSIAH D NELSONCredential: MD

Location Address3217 STEIN BOULEVARDEau Claire, WI 54701-6995

Mailing Address3217 Stein BoulevardEau Claire, WI 54701-6995 · (715) 835-6548 · Fax (715) 835-7708

Phone(715) 835-6548

Fax(715) 835-7708

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 17, 2006

Last NPPES UpdateSeptember 18, 2009

✔ NPI 1376595074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in WI · 48491-020✔ Licensed in WI · 48491

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3217 STEIN BOULEVARD, Eau Claire, WI 54701

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Other Identifiers 3

Medicaid100002959WI

Other48491-020WI · License

Medicare PIN200020007

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and more.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

Josiah D Nelson Md 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 ID244383354

PECOS Enrollment IDI20090806000151

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 Reassignments

Medicare enrollment records show Josiah Nelson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western Wisconsin Urology

Same address

Urology

3217 STEIN BLVD
Eau Claire, WI 54701

Reassigned Medicare billing, Wisconsin enrollment
7 clinicians in this Medicare group

NPI 1710060199 (715) 835-6548

Mchs Hospitals Inc

0.8 mi

Clinic/Center

2310 CRAIG RD
Eau Claire, WI 54701

Reassigned Medicare billing, Wisconsin enrollment
2,476 clinicians in this Medicare group

NPI 1316416035 (715) 858-8100

Lakeview Medical Center Inc Of Rice Lake

37 mi

Clinic/Center

806 2ND ST
Chetek, WI 54728

Reassigned Medicare billing, Wisconsin enrollment
1,616 clinicians in this Medicare group

NPI 1659008605 (715) 924-2000

Marshfield Clinic Inc

66 mi

Clinic/Center

1000 N OAK AVE
Marshfield, WI 54449

Reassigned Medicare billing, Wisconsin enrollment
2,540 clinicians in this Medicare group

NPI 1952347981 (715) 387-5511

Ladd Memorial Hospital

68 mi

Critical Access

2600 65TH AVE
Osceola, WI 54020

Reassigned Medicare billing, Wisconsin enrollment
170 clinicians in this Medicare group

NPI 1467560227 (715) 294-2111

St. Croix Regional Medical Center

70 mi

Critical Access

235 STATE ST
Saint Croix Falls, WI 54024

Reassigned Medicare billing, Wisconsin enrollment
453 clinicians in this Medicare group

NPI 1043240922 (715) 483-3221

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 19

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

4,600 services25 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.

297 services231 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

162 services19 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

79 services71 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

67 services48 patients

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.

65 services56 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

39 services34 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

38 services25 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

32 services24 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

29 services26 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

29 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

25 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

18 services12 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

17 services17 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

14 services14 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

13 services13 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520011

Location1700 West Stout StreetRice Lake, WI 54868 · Barron County

Emergency services Birthing friendly

Oakleaf Surgical Hospital

Acute Care Hospitals · Altoona, WI

OwnershipPhysician

CMS Certification Number520196

Location1000 Oakleaf WayAltoona, WI 54720 · Eau Claire County

Ladd Memorial Hospital

Critical Access Hospitals · Osceola, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521318

Location2600 65th AvenueOsceola, WI 54020 · Polk County

Emergency services

Black River Memorial Hospital

Critical Access Hospitals · Black River Falls, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521333

Location711 W Adams StBlack River Falls, WI 54615 · Jackson County

Emergency services

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521337

Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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.

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.

79.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.81

Promoting Interoperability

Improvement Activities

Cost

44.05

Referred Medical Equipment & Supplies CMS DME claims 6

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

Urinary catheter anchoring device, adhesive skin attachment, each A4333

DME-Orthotic Devices · category DF000N

3 suppliers11 claims66 services$2.14 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

10 suppliers74 claims12,638 services$1.71 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers41 claims4,452 services$5.23 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

6 suppliers27 claims90 services$7.57 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

4 suppliers29 claims98 services$5.01 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

3 suppliers14 claims76 services$1.44 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 2

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

CHRISTOPHER KARL TORNEHL MD

Urology

3217 STEIN BOULEVARD
EAU CLAIRE, WI 54701

Eau Claire County (715) 835-6548

JAMES S. IWAKIRI MD

Urology

3217 STEIN BOULEVARD
EAU CLAIRE, WI 54701

Eau Claire County (715) 835-6548

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 Josiah Nelson's NPI number?

The NPI number for Josiah Nelson is 1376595074. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Josiah Nelson located?

Josiah Nelson practices at 3217 Stein Boulevard, Eau Claire, WI 54701. The listed phone number is (715) 835-6548.

What is Josiah Nelson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Josiah Nelson enrolled in Medicare?

Yes. Josiah 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 organizations bill Medicare for Josiah Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josiah Nelson reassigns Medicare benefits to 6 organizations: Western Wisconsin Urology (Eau Claire, WI), Mchs Hospitals Inc (Eau Claire, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI), Marshfield Clinic Inc (Marshfield, WI), Ladd Memorial Hospital (Osceola, WI) and 1 more organization, listed in the Medicare section above. Each 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 Josiah Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Josiah Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Quartz and Sanford Health Plan and 1 other insurer list Josiah 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 Josiah Nelson affiliated with any hospitals?

According to CMS data, Josiah Nelson is affiliated with Marshfield Medical Center - Rice Lake, Oakleaf Surgical Hospital, Ladd Memorial Hospital, Black River Memorial Hospital and St Croix Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Josiah Nelson was last updated on September 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.