Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVID D. NELSEN MD
NPI 1417184169
Dermatology in Janesville, WI

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
3524 E MILWAUKEE ST, JANESVILLE, WI 53546(608) 756-7217(608) 756-4700 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Sep 12, 2018, Mar 1, 2017 (3 updates tracked since 2017).

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

NPI1417184169
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDAVID D. NELSENCredential: MD
Location Address3524 E MILWAUKEE STJanesville, WI 53546-1626
Mailing Address3524 E Milwaukee StJanesville, WI 53546-1626 · (608) 756-7217 · Fax (608) 756-4700
Fax(608) 756-4700
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2009
Enumeration DateJune 19, 2009
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
✔ NPI 1417184169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WI · 54912-20
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3524 E MILWAUKEE ST, Janesville, WI 53546

Other Identifiers 4

Other1417184169WI · Bcbswi
OtherK400372132-000054176WI · Wi Medicare
OtherNELSEDAVWI · Mercycare Insurance
Medicaid1417184169WI

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.

PECOS PAC ID4183894587
PECOS Enrollment IDI20110822000410, I20230209002213
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

3

Medicare 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.

Mental Health (Including Community Mental Health Center)
903 MINERAL POINT AVE
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin and Illinois enrollments
  • Also billed through NPI 1598718603 (Illinois)
  • 1,155 clinicians in this Medicare group
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
Critical Access
901 GRANT ST
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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,622 services950 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
816 services209 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.
672 services549 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
368 services321 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
271 services238 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.
244 services217 patients

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, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

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.

Physician Assistant
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Family Medicine
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Orthopaedic Surgery (Hand Surgery)
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Physical Therapist
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Physical Therapist
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Dietitian, Registered
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Internal Medicine
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Emergency Medicine
3524 E MILWAUKEE ST
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.