NICOLE T NELSON DDS
NPI 1487155073
Dentist - General Practice in Omaha, NE
About Nicole T Nelson Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE T NELSON DDS (NPI 1487155073) is an individual general practice provider in Omaha, Nebraska, licensed in Nebraska (7438) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.
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 (PECOS)
Nicole T Nelson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tohatchi, NM 87325
- Reassigned Medicare billing, Texas enrollment
- 618 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 68104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nicole Nelson's NPI number?
The NPI number for Nicole Nelson is 1487155073. It was assigned to this individual provider in the NPPES registry on February 28, 2018.
Where is Nicole Nelson located?
Nicole Nelson practices at 5805 Manderson St, Omaha, NE 68104. The listed phone number is (480) 599-6412.
What is Nicole Nelson's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Nicole Nelson enrolled in Medicare?
Yes. Nicole Nelson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Nelson reassigns Medicare benefits to Dhhs, Phs, Naihs, Gallup Indian Medical Center (Tohatchi, NM). 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 Nicole Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Nelson was last updated on February 28, 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.
# Nicole T Nelson, DDS · NPI 1487155073
General Practice provider in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since February 28, 2018.
## Identity
- **NPI:** 1487155073 (Entity type: Individual)
- **Enumerated:** February 28, 2018
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 7438 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 5805 MANDERSON ST, Omaha, NE 68104-2939
- **Phone:** (480) 599-6412
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Dhhs, Phs, Naihs, Gallup Indian Medical Center (NPI 1902875594, Tohatchi, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1487155073) · Data from the CMS NPPES public registry.