1. Home
  2. Directory
  3. Washington
  4. Edmonds
  5. Family Medicine
  6. NPI Profile

DR. MARCI M NELSON M.D.
NPI 1629021043
Family Medicine in Edmonds, WA

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
21911 76TH AVE W, #110, EDMONDS, WA 98026(425) 640-4950(425) 640-4958 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marci M Nelson M.d. NPPES

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

DR. MARCI M NELSON M.D. (NPI 1629021043) is an individual family medicine provider in Edmonds, Washington, licensed in Washington (MD00042464) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and is a graduate of University Of California, San Diego School Of Medicine (2001).

NPPES Registry Identity

NPI1629021043
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARCI M NELSONCredential: M.D.
Location Address21911 76TH AVE W, #110Edmonds, WA 98026-7903
Mailing Address21911 76th Ave W, #110Edmonds, WA 98026-7903 · (425) 640-4950 · Fax (425) 640-4958
Phone(425) 640-4950
Fax(425) 640-4958
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2001
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 8, 2020
NPPES CertifiedOctober 8, 2020
✔ NPI 1629021043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00042464
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.

21911 76TH AVE W, Edmonds, WA 98026
Open in Google Maps ↗

Other Identifiers 2

Medicaid8393597WA
Other4252PUWA · Regence Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Marci M Nelson M.d. 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 ID5890778104
PECOS Enrollment IDI20040609000182
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 4

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.
60 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 20

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

JOE M SKARIAH DO
Family Medicine
21911 76TH AVE W, #110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
DR. EMMY NAKASU DAVISON M.D.
Family Medicine
21911 76TH AVE W, SUITE 110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
DR. SAMUEL K SETO M.D.
Ophthalmology
21911 76TH AVE W, SUITE 101
EDMONDS, WA 98026
Snohomish County (425) 774-7723
EMILY NEL PETERSON MD
Family Medicine
21911 76TH AVE W, SUITE 110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
CHELSEA MURPHY MS, RD
Dietitian, Registered
21911 76TH AVE W, SUITE 200
EDMONDS, WA 98026
Snohomish County (425) 778-2220
DR. JUDITH BABCOCK M.D.
Family Medicine
21911 76TH AVE W, #110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
DR. MAURENE P CRONYN M.D.
Family Medicine
21911 76TH AVE W, #110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
ANGELICA ROSE SUP O.D.
Optometrist
21911 76TH AVE W, SUITE 101
EDMONDS, WA 98026
Snohomish County (425) 774-7723

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 Marci Nelson's NPI number?

The NPI number for Marci Nelson is 1629021043. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Marci Nelson located?

Marci Nelson practices at 21911 76th Ave W #110, Edmonds, WA 98026. The listed phone number is (425) 640-4950.

What is Marci Nelson's specialty?

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

Is Marci Nelson enrolled in Medicare?

Yes. Marci 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 Marci Nelson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Marci 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 Marci Nelson affiliated with any hospitals?

According to CMS data, Marci Nelson is affiliated with Swedish Edmonds Hospital.

When was this NPI record last updated?

The NPPES record for Marci Nelson was last updated on October 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.