1. Home
  2. Directory
  3. New Mexico
  4. Isleta
  5. Family Medicine
  6. NPI Profile

RILEY NELSON MD
NPI 1578657706
Family Medicine in Isleta, NM

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
01 SAGEBRUSH, ISLETA, NM 87022(505) 869-4863(505) 869-4881 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Riley Nelson Md NPPES

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

RILEY NELSON MD (NPI 1578657706) is an individual family medicine provider in Isleta, New Mexico, licensed in New Mexico (2003-0359) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2001).

NPPES Registry Identity

NPI1578657706
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRILEY NELSONCredential: MD
Location Address01 SAGEBRUSHIsleta, NM 87022
Mailing Address01 SagebrushIsleta, NM 87022-0000 · (505) 869-4863 · Fax (505) 869-4881
Phone(505) 869-4863
Fax(505) 869-4881
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2001
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 2, 2018
✔ NPI 1578657706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · 2003-0359
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

01 SAGEBRUSH, Isleta, NM 87022
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Riley Nelson Md 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 ID2961484191
PECOS Enrollment IDI20040602001036
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 8

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.
204 services113 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
132 services89 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
90 services90 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
76 services50 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
44 services11 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.
37 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87022 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$43.73 avg. paid by Medicare
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
3 suppliers15 claims17 services$66.12 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 14

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

PUEBLO OF ISLETA
Ambulance
01 SAGEBRUSH
ISLETA, NM 87022
Bernalillo County (505) 869-4863
VERONICA SPRUNK RPH
Pharmacist (Pharmacotherapy)
01 SAGEBRUSH
ISLETA, NM 87022
Bernalillo County (505) 869-3200
SEAN A SALAZAR PT
Physical Therapist
01 SAGEBRUSH
ISELETA, NM 87022
Bernalillo County (505) 869-4398
DR. MISTI MARLENE CHAVEZ PHARM D.
Pharmacist (Pharmacotherapy)
01 SAGEBRUSH
ISLETA, NM 87022
Bernalillo County (505) 869-3200
PUEBLO OF ISLETA
Clinic/Center
01 SAGEBRUSH
ISLETA, NM 87022
Bernalillo County (505) 869-3200
STEPHEN HUBBERT DDS
Dentist
01 SAGEBRUSH
ISLETA, NM 87022
Bernalillo County (505) 869-4863
SUSAN STEPHANIE CHEWIWI M.S.
Registered Nurse (Community Health)
01 SAGEBRUSH
ISLETA, NM 87022
Bernalillo County (505) 869-4864
PUEBLO OF ISLETA
Clinic/Center (Urgent Care)
01 SAGEBRUSH
ISLETA, NM 87022
Bernalillo County (505) 869-3200

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 Riley Nelson's NPI number?

The NPI number for Riley Nelson is 1578657706. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Riley Nelson located?

Riley Nelson practices at 01 Sagebrush, Isleta, NM 87022. The listed phone number is (505) 869-4863.

What is Riley Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Riley Nelson enrolled in Medicare?

Yes. Riley 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 Riley Nelson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Riley 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 Riley Nelson was last updated on August 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.