ELIZABETH RUBY ANNE NELSEN DO
NPI 1467860494
Student in an Organized Health Care Education/Training Program in Manchester, CT
About Elizabeth Ruby Anne Nelsen Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH RUBY ANNE NELSEN DO (NPI 1467860494) is an individual student in an organized health care education/training program in Manchester, Connecticut and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of Chicago College Of Osteopathy (2013).
NPPES Registry Identity
Specialties & Licenses
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
Elizabeth Ruby Anne Nelsen Do 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 Reassignment
Medicare enrollment records show Elizabeth Nelsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gresham, OR 97030
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1609171081 (Washington)
- 3,207 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaiser Sunnyside Medical Center
Acute Care Hospitals · Clackamas, OROther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANCHESTER, CT 06040
MANCHESTER, CT 06040
MANCHESTER, CT 06040
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 Elizabeth Nelsen's NPI number?
The NPI number for Elizabeth Nelsen is 1467860494. It was assigned to this individual provider in the NPPES registry on July 22, 2014.
Where is Elizabeth Nelsen located?
Elizabeth Nelsen practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 533-6559.
What is Elizabeth Nelsen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Elizabeth Nelsen enrolled in Medicare?
Yes. Elizabeth 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 organization bills Medicare for Elizabeth Nelsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Nelsen reassigns Medicare benefits to Sapphire At Gresham Rehab, LLC (Gresham, OR). 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 Elizabeth Nelsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Elizabeth Nelsen affiliated with any hospitals?
According to CMS data, Elizabeth Nelsen is affiliated with Kaiser Sunnyside Medical Center.
When was this NPI record last updated?
The NPPES record for Elizabeth Nelsen was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Elizabeth Ruby Anne Nelsen, DO · NPI 1467860494
Student in an Organized Health Care Education/Training Program provider in Manchester, Connecticut. Individual provider, active in the CMS NPPES registry since July 22, 2014.
## Identity
- **NPI:** 1467860494 (Entity type: Individual)
- **Enumerated:** July 22, 2014
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 71 HAYNES ST, Manchester, CT 06040-4131
- **Phone:** (860) 533-6559
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sapphire At Gresham Rehab, LLC (NPI 1033740899, Gresham, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Chicago College Of Osteopathy, class of 2013
## Record status
- **NPPES last updated:** February 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1467860494) · Data from the CMS NPPES public registry.