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TAMARA L NELSON MD
NPI 1578773172
Internal Medicine - Rheumatology in Indianapolis, IN

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
201 PENNSYLVANIA PKWY SUITE, STE 315, INDIANAPOLIS, IN 46280(317) 962-3500(317) 962-2735 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tamara L Nelson Md NPPES

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

TAMARA L NELSON MD (NPI 1578773172) is an individual rheumatology provider in Indianapolis, Indiana, licensed in Indiana (01074295A) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2002).

NPPES Registry Identity

NPI1578773172
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameTAMARA L NELSONCredential: MD
Location Address201 PENNSYLVANIA PKWY SUITE, STE 315Indianapolis, IN 46280-1393
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 962-3500
Fax(317) 962-2735
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2002
Enumeration DateMay 23, 2007
Last NPPES UpdateJanuary 6, 2021
NPPES CertifiedJanuary 6, 2021
✔ NPI 1578773172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in IN · 01074295A✔ Licensed in IA · 38417
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 38417 (IA), R7797 (IA)
201 PENNSYLVANIA PKWY SUITE, Indianapolis, IN 46280
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Other Identifiers 1

Medicaid201249860IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Tamara L 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 ID1951589217
PECOS Enrollment IDI20140925000563
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 3

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.
305 services160 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.
118 services92 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46280 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Tamara Nelson's NPI number?

The NPI number for Tamara Nelson is 1578773172. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Tamara Nelson located?

Tamara Nelson practices at 201 Pennsylvania Pkwy Suite Ste 315, Indianapolis, IN 46280. The listed phone number is (317) 962-3500.

What is Tamara Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Tamara Nelson enrolled in Medicare?

Yes. Tamara 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 Tamara Nelson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Tamara 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 Tamara Nelson affiliated with any hospitals?

According to CMS data, Tamara Nelson is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health and Indiana University Health North Hospital.

When was this NPI record last updated?

The NPPES record for Tamara Nelson was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.