ERICA E NELSON M.D.
NPI 1447231493
Obstetrics & Gynecology in Springfield, IL

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
415 N 9TH ST, 6TH FLOOR, SPRINGFIELD, IL 62702(217) 545-5117(217) 545-7958 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Erica E Nelson M.d. NPPES

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

ERICA E NELSON M.D. (NPI 1447231493) is an individual obstetrics & gynecology provider in Springfield, Illinois, licensed in Illinois (036098741) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of University Of Vermont College Of Medicine (1990).

NPPES Registry Identity

NPI1447231493
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameERICA E NELSONCredential: M.D.
Location Address415 N 9TH ST, 6TH FLOORSpringfield, IL 62702-5317
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-7578 · Fax (217) 545-1884
Fax(217) 545-7958
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1990
Enumeration DateNovember 8, 2005
Last NPPES UpdateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
NPI 1447231493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IL · 036098741
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

415 N 9TH ST, Springfield, IL 62702

Other Identifiers 1

Medicaid036098741IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Erica E Nelson M.d. 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 ID4981749694
PECOS Enrollment IDI20100305000606
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 4

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
47 services46 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.
39 services26 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
33 services33 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.
24 services23 patients

Hospital Affiliations CMS Care Compare 5

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Obstetrics & Gynecology
415 N 9TH ST, 6TH FLOOR
SPRINGFIELD, IL 62702
Obstetrics & Gynecology (Obstetrics)
415 N 9TH ST, 6TH FLOOR
SPRINGFIELD, IL 62702
Nutritionist (Nutrition, Education)
415 N 9TH ST, STE 6W162
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
415 N 9TH ST, 6TH FLOOR
SPRINGFIELD, IL 62702
Pediatrics (Neonatal-Perinatal Medicine)
415 N 9TH ST, SUITE 4W16
SPRINGFIELD, IL 62702
Pediatrics (Neonatal-Perinatal Medicine)
415 N 9TH ST
SPRINGFIELD, IL 62702
Pediatrics (Neonatal-Perinatal Medicine)
415 N 9TH ST, SUITE 4W16
SPRINGFIELD, IL 62702
Internal Medicine (Hematology & Oncology)
415 N 9TH ST, 2W106
SPRINGFIELD, IL 62702

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 Erica Nelson's NPI number?

The NPI number for Erica Nelson is 1447231493. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Erica Nelson located?

Erica Nelson practices at 415 N 9th St 6th Floor, Springfield, IL 62702. The listed phone number is (217) 545-5117.

What is Erica Nelson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Erica Nelson enrolled in Medicare?

Yes. Erica Nelson 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.

Is Erica Nelson affiliated with any hospitals?

According to CMS data, Erica Nelson is affiliated with St Johns Hospital, Decatur Memorial Hospital, Memorial Medical Center, St Francis Hospital and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Erica Nelson was last updated on December 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.