ERIKA J NELSON CNP
NPI 1477066835
Nurse Practitioner - Family in Springfield, OH

Active since November 08, 2017PECOS EnrolledAccepts Medicare Assignment
100 W MCCREIGHT AVE STE 150, SPRINGFIELD, OH 45504(937) 323-1404(937) 323-1407 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2018, Nov 8, 2017 (2 updates tracked since 2017).

About Erika J Nelson Cnp NPPES

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

ERIKA J NELSON CNP (NPI 1477066835) is an individual family provider in Springfield, Ohio, licensed in Ohio (APRNCNP021722) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Springfield Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477066835
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERIKA J NELSONCredential: CNP
Location Address100 W MCCREIGHT AVE STE 150Springfield, OH 45504-1890
Mailing Address100 W Mccreight Ave Ste 150Springfield, OH 45504-1890 · (937) 323-1404 · Fax (937) 323-1407
Fax(937) 323-1407
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 8, 2017
Last NPPES UpdateApril 10, 20182 updates tracked since enumeration
NPI 1477066835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRNCNP021722
100 W MCCREIGHT AVE STE 150, Springfield, OH 45504

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 and accepts Medicare assignment

Erika J Nelson Cnp 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 ID6406115559
PECOS Enrollment IDI20180117001536
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 7

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.

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.
537 services277 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
446 services255 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
120 services113 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
116 services67 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system 93288
An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
53 services44 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.
26 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360086
Location100 Medical Center DriveSpringfield, OH 45504 · Clark County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Urbana Hospital

Critical Access Hospitals · Urbana, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361312
Location904 Scioto StreetUrbana, OH 43078 · Champaign County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45504 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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 supplier12 claims12 services$83.42 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$31.59 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504
Nurse Practitioner (Acute Care)
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504
Nurse Practitioner (Gerontology)
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504
Internal Medicine
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504
Physician Assistant
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504
Radiology (Diagnostic Radiology)
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504
Internal Medicine (Cardiovascular Disease)
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504

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 Erika Nelson's NPI number?

The NPI number for Erika Nelson is 1477066835. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Where is Erika Nelson located?

Erika Nelson practices at 100 W Mccreight Ave Ste 150, Springfield, OH 45504. The listed phone number is (937) 323-1404.

What is Erika Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erika Nelson enrolled in Medicare?

Yes. Erika 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.

What insurance does Erika Nelson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Erika 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 Erika Nelson affiliated with any hospitals?

According to CMS data, Erika Nelson is affiliated with Springfield Regional Medical Center, Mercy Health - West Hospital and Mercy Health - Urbana Hospital.

When was this NPI record last updated?

The NPPES record for Erika Nelson was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.