DAVID D. NELSEN MD
NPI 1417184169
Dermatology in Janesville, WI
About David D. Nelsen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID D. NELSEN MD (NPI 1417184169) is an individual dermatology provider in Janesville, Wisconsin, licensed in Wisconsin (54912-20) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Javon Bea Hospital, and is a graduate of University Of Minnesota Medical School (2009).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted 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
David D. Nelsen 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.
Medicare Billing Reassignments
3Medicare enrollment records show David Nelsen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Janesville, WI 53548
- Reassigned Medicare billing, Wisconsin and Illinois enrollments
- Also billed through NPI 1598718603 (Illinois)
- 1,155 clinicians in this Medicare group
Rockford, IL 61114
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Harvard, IL 60033
- Reassigned Medicare billing, Illinois enrollment
- 382 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.
Areas of Expertise CMS Part B claims 25
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Javon Bea Hospital
Acute Care Hospitals · Rockford, ILMercy Health System Corp
Acute Care Hospitals · Janesville, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JANESVILLE, WI 53546
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 David Nelsen's NPI number?
The NPI number for David Nelsen is 1417184169. It was assigned to this individual provider in the NPPES registry on June 19, 2009.
Where is David Nelsen located?
David Nelsen practices at 3524 E Milwaukee St, Janesville, WI 53546. The listed phone number is (608) 756-7217.
What is David Nelsen's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is David Nelsen enrolled in Medicare?
Yes. David Nelsen 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 David Nelsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Nelsen reassigns Medicare benefits to 3 organizations: Mercy Health System Corporation (Janesville, WI), Rockford Health Physicians (Rockford, IL) and Mercy Harvard Hospital Inc (Harvard, IL). 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 David Nelsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Nelsen accept?
Health plans from Anthem Blue Cross and Blue Shield, MercyCare and MercyCare Health Plans list David Nelsen 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 David Nelsen affiliated with any hospitals?
According to CMS data, David Nelsen is affiliated with Javon Bea Hospital and Mercy Health System Corp.
When was this NPI record last updated?
The NPPES record for David Nelsen was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.