MARIE NELSON APRN
NPI 1396470688
Nurse Practitioner - Family in Jackson, GA

Q: What is Marie Nelson's NPI number?

The NPI number for Marie Nelson is 1396470688. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Q: What is Marie Nelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marie Nelson was last updated on April 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 20, 2022PECOS EnrolledAccepts Medicare Assignment

922 MCDONOUGH RD, JACKSON, GA 30233(770) 775-7832 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Marie Nelson Aprn NPPES

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

MARIE NELSON APRN (NPI 1396470688) is an individual family provider in Jackson, Georgia, licensed in Georgia (GAA-NP000145) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396470688

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIE NELSONCredential: APRN

Location Address922 MCDONOUGH RDJackson, GA 30233-1522

Mailing Address922 Mcdonough RdJackson, GA 30233-1522 · (770) 775-7832

Phone(770) 775-7832

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 20, 2022

Last NPPES UpdateApril 27, 2023

NPPES CertifiedApril 27, 2023

✔ NPI 1396470688 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 GA · GAA-NP000145

922 MCDONOUGH RD, Jackson, GA 30233

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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

Marie 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 ID941683767

PECOS Enrollment IDI20220811001952

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 9

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 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.

1,804 services146 patients

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491

Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.

513 services109 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.

437 services92 patients

Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month 99437

Chronic care management services involve regular check-ups, medication management, and health guidance for patients with two or more long-term health conditions. This specific service provides an additional 30 minutes of personal attention from a healthcare professional each month.

209 services75 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.

99 services73 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

87 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30233 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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Other Providers at the Same Location NPPES 8

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

JACKSON GA OPCO LLC

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