DOUGLAS NELSON M.D.
NPI 1427091065
Internal Medicine in Kalispell, MT

Active since June 13, 2006PECOS Enrolled
1287 BURNS WAY, KALISPELL, MT 59901(406) 752-8120(406) 752-8134 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 19, 2021, Jun 26, 2020 (2 updates tracked since 2020).

About Douglas Nelson M.d. NPPES

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

DOUGLAS NELSON M.D. (NPI 1427091065) is an individual internal medicine provider in Kalispell, Montana, licensed in Montana (7105) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1991).

NPPES Registry Identity

NPI1427091065
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOUGLAS NELSONCredential: M.D.
Location Address1287 BURNS WAYKalispell, MT 59901-3109
Mailing Address1287 Burns WayKalispell, MT 59901-3109 · (406) 752-8120 · Fax (406) 752-8134
Fax(406) 752-8134
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1991
Enumeration DateJune 13, 2006
Last NPPES UpdateApril 19, 20212 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
NPI 1427091065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MT · 7105
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 7105 (MT)
1287 BURNS WAY, Kalispell, MT 59901

Other Identifiers 2

Other1427091065MT · Bcbs
Medicaid1427091065MT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Douglas Nelson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830002179
PECOS Enrollment IDI20100512001039
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services15 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.
16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271336
Location1600 Hospital WayWhitefish, MT 59937 · Flathead County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$111.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1287 BURNS WAY
KALISPELL, MT 59901
Physician Assistant
1287 BURNS WAY
KALISPELL, MT 59901
Internal Medicine
1287 BURNS WAY
KALISPELL, MT 59901
Physician Assistant
1287 BURNS WAY
KALISPELL, MT 59901
Dietitian, Registered
1287 BURNS WAY
KALISPELL, MT 59901
Internal Medicine
1287 BURNS WAY
KALISPELL, MT 59901
Dietitian, Registered
1287 BURNS WAY
KALISPELL, MT 59901
Internal Medicine
1287 BURNS WAY
KALISPELL, MT 59901

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 Douglas Nelson's NPI number?

The NPI number for Douglas Nelson is 1427091065. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Douglas Nelson located?

Douglas Nelson practices at 1287 Burns Way, Kalispell, MT 59901. The listed phone number is (406) 752-8120.

What is Douglas Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Douglas Nelson enrolled in Medicare?

Yes. Douglas Nelson is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Nelson accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and PacificSource Health Plans list Douglas Nelson 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 Douglas Nelson affiliated with any hospitals?

According to CMS data, Douglas Nelson is affiliated with Logan Health Medical Center and Logan Health - Whitefish.

When was this NPI record last updated?

The NPPES record for Douglas Nelson was last updated on April 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.