THERESA ANN NELSON APRN
NPI 1396452827
Nurse Practitioner - Acute Care in Kansas City, KS

Q: What is Theresa Nelson's NPI number?

The NPI number for Theresa Nelson is 1396452827. It was assigned to this individual provider in the NPPES registry on November 3, 2022.

Q: What is Theresa Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Nelson was last updated on November 3, 2022. 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.

Active since November 03, 2022PECOS EnrolledAccepts Medicare Assignment

91.89/100

CMS Quality Rating

4000 CAMBRIDGE ST, KANSAS CITY, KS 66160(913) 588-5000 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Theresa Ann Nelson Aprn NPPES

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

THERESA ANN NELSON APRN (NPI 1396452827) is an individual acute care provider in Kansas City, Kansas, licensed in Kansas (81593) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Creighton University School Of Medicine (2022).

NPPES Registry Identity

NPI1396452827

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameTHERESA ANN NELSONCredential: APRN

Location Address4000 CAMBRIDGE STKansas City, KS 66160-8501

Mailing Address4000 Cambridge StKansas City, KS 66160-8501

Phone(913) 588-5000

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2022

Enumeration DateNovember 3, 2022

NPPES CertifiedNovember 3, 2022

✔ NPI 1396452827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in KS · 81593

4000 CAMBRIDGE ST, Kansas City, KS 66160

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc..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

Theresa Ann 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 ID8921478587

PECOS Enrollment IDI20221224000035

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

58 services45 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

36 services19 patients

Hospital Affiliations CMS Care Compare

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number170040

Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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.

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.

91.89/100

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

Scored through an Alternative Payment Model

Quality

75.17

Promoting Interoperability

100

Improvement Activities

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.

KELSIE MARIE ZIMMERMAN

Physician Assistant (Surgical)