MRS. DAWN M NELSON APN
NPI 1427159565
Nurse Practitioner - Adult Health in Crown Point, IN

Active since September 25, 2006PECOS Enrolled
12750 SAINT FRANCIS DR STE 320, CROWN POINT, IN 46307(219) 757-6158(219) 681-6956 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Dawn M Nelson Apn NPPES

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

MRS. DAWN M NELSON APN (NPI 1427159565) is an individual adult health provider in Crown Point, Indiana, licensed in Indiana (71001806A) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Valparaiso.

NPPES Registry Identity

NPI1427159565
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. DAWN M NELSONCredential: APN
Location Address12750 SAINT FRANCIS DR STE 320Crown Point, IN 46307-0264
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(219) 681-6956
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
✔ NPI 1427159565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IN · 71001806A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71001806A (IN)
12750 SAINT FRANCIS DR STE 320, Crown Point, IN 46307

Secondary Practice Location 1

Location 185 E US Highway 6Valparaiso, IN 46383-8917 · Phone (219) 983-8694 · Fax (219) 983-8965

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)

Mrs. Dawn M Nelson Apn 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 Dawn Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
1515 W DRAGOON TRL
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 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 46307 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Physician Assistant
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Nurse Practitioner
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Nurse Practitioner (Family)
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Internal Medicine (Clinical Cardiac Electrophysiology)
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Nurse Practitioner (Family)
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Internal Medicine (Cardiovascular Disease)
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Surgery (Vascular Surgery)
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307

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 Dawn Nelson's NPI number?

The NPI number for Dawn Nelson is 1427159565. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Dawn Nelson located?

Dawn Nelson practices at 12750 Saint Francis Dr Ste 320, Crown Point, IN 46307. The listed phone number is (219) 757-6158.

What is Dawn Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dawn Nelson enrolled in Medicare?

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

Which organization bills Medicare for Dawn Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Nelson reassigns Medicare benefits to Franciscan Physician Network (Mishawaka, IN). 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 Dawn Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Nelson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Dawn 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.

When was this NPI record last updated?

The NPPES record for Dawn Nelson was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.