NELS O EWOLDSEN DDS
NPI 1417085838
Dentist in York, PA

Active since February 28, 2007PECOS Enrolled
944 COUNTRY CLUB RD, YORK, PA 17403(717) 849-4597(717) 849-4515 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nels O Ewoldsen Dds NPPES

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

NELS O EWOLDSEN DDS (NPI 1417085838) is an individual dentist in York, Pennsylvania, licensed in Pennsylvania (DS035348) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417085838
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameNELS O EWOLDSENCredential: DDS
Location Address944 COUNTRY CLUB RDYork, PA 17403-3438
Mailing Address944 Country Club RdYork, PA 17403-3438 · (717) 849-4597 · Fax (717) 849-4515
Fax(717) 849-4515
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417085838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in PA · DS035348✔ Licensed in WY · 938✔ Licensed in NE · 5947✔ Licensed in IN · 12007599A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
944 COUNTRY CLUB RD, York, PA 17403

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nels O Ewoldsen Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Nels Ewoldsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dentist
8500 W 110TH ST STE 260
Overland Park, KS 66210
  • Reassigned Medicare billing, Iowa enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Nels Ewoldsen's NPI number?

The NPI number for Nels Ewoldsen is 1417085838. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Nels Ewoldsen located?

Nels Ewoldsen practices at 944 Country Club Rd, York, PA 17403. The listed phone number is (717) 849-4597.

What is Nels Ewoldsen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Nels Ewoldsen enrolled in Medicare?

Yes. Nels Ewoldsen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nels Ewoldsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nels Ewoldsen reassigns Medicare benefits to Aria Dental Care PC (Overland Park, KS). The 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 Nels Ewoldsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nels Ewoldsen accept?

Health plans from Delta Dental of Iowa, Guardian, HRI Dental & Vision and Paramount list Nels Ewoldsen 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.

When was this NPI record last updated?

The NPPES record for Nels Ewoldsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.