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CANDICE L NELSON MD
NPI 1629024997
Pediatrics in Sioux Falls, SD

Active since May 26, 2006PECOS Enrolled
6101 S LOUISE AVE, SIOUX FALLS, SD 57108(605) 312-8000(605) 312-8001 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Candice L Nelson Md NPPES

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

CANDICE L NELSON MD (NPI 1629024997) is an individual pediatrics provider in Sioux Falls, South Dakota, licensed in South Dakota (4890) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1629024997
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCANDICE L NELSONCredential: MD
Location Address6101 S LOUISE AVESioux Falls, SD 57108-5981
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 312-7605 · Fax (605) 312-7611
Phone(605) 312-8000
Fax(605) 312-8001
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1629024997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in SD · 4890✔ Licensed in IA · R-5860
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6101 S LOUISE AVE, Sioux Falls, SD 57108
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Secondary Practice Location 1

Location 14405 E 26th StSioux Falls, SD 57103-4187 · Phone (605) 328-9080 · Fax (605) 328-9081

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candice L Nelson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Candice Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic
Same address
Family Medicine
6101 S LOUISE AVE
Sioux Falls, SD 57108
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1104255835 (605) 328-8000
Sanford Medical Center
3.6 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897

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 57108 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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 18

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

SARAH BOSCHEE KRUSH NP-C
Nurse Practitioner (Family)
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 322-8000
JAKOB GERHARD WEBER DO
Family Medicine
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 312-8000
SARA MARIE FREE MD
Pediatrics
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 312-8000
ALISHA NEISES CNP
Nurse Practitioner (Family)
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 312-8000
SANFORD CLINIC
Family Medicine
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-8000
TYLER JOHN HANSON CNP
Nurse Practitioner (Family)
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 312-8000
MR. SHANE HAMILTON CSW-PIP
Social Worker (Clinical)
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 312-8000
CHRISTINA OLSON DO
Family Medicine
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 312-8000

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 Candice Nelson's NPI number?

The NPI number for Candice Nelson is 1629024997. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Candice Nelson located?

Candice Nelson practices at 6101 S Louise Ave, Sioux Falls, SD 57108. The listed phone number is (605) 312-8000.

What is Candice Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Candice Nelson enrolled in Medicare?

Yes. Candice Nelson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Candice Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candice Nelson reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). Each 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 Candice Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candice Nelson accept?

Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Candice 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 Candice Nelson was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.