SUSAN F NELSON D.O.
NPI 1629277686
Emergency Medicine in Virginia Gardens, FL

Active since July 11, 2007PECOS EnrolledAccepts Medicare Assignment
6221 NW 36TH ST, VIRGINIA GARDENS, FL 33166(305) 871-3627(305) 871-7569 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan F Nelson D.o. NPPES

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

SUSAN F NELSON D.O. (NPI 1629277686) is an individual emergency medicine provider in Virginia Gardens, Florida, licensed in Florida (OS 6525) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1991).

NPPES Registry Identity

NPI1629277686
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSUSAN F NELSONCredential: D.O.
Location Address6221 NW 36TH STVirginia Gardens, FL 33166-7026
Mailing Address4483 Nw 36th St, Suite 120Miami Springs, FL 33166-7260 · (305) 888-7555 · Fax (305) 888-7404
Fax(305) 871-7569
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1991
Enumeration DateJuly 11, 2007
Last NPPES UpdateAugust 1, 2014
NPI 1629277686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in FL · OS 6525
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral PracticeTaxonomy 208D00000X · License OS 6525 (FL)
6221 NW 36TH ST, Virginia Gardens, FL 33166

Accepted 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

Susan F Nelson D.o. 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 ID3476995929
PECOS Enrollment IDI20240529002337
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 9

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 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.
43 services37 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
26 services26 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
25 services25 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.
23 services21 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
20 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33166 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 8

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

Physical Therapist
6221 NW 36TH ST
VIRGINIA GARDENS, FL 33166
Physician Assistant
6221 NW 36TH ST
VIRGINIA GARDENS, FL 33166
Dentist
6221 NW 36TH ST
VIRGINIA GARDENS, FL 33166
Physician Assistant
6221 NW 36TH ST
VIRGINIA GARDENS, FL 33166
Clinic/Center (Dental)
6221 NW 36TH ST
VIRGINIA GARDENS, FL 33166
Physical Therapist
6221 NW 36TH ST
VIRGINIA GARDENS, FL 33166
Clinic/Center (Occupational Medicine)
6221 NW 36TH ST
VIRGINIA GARDENS, FL 33166
Clinic/Center (Urgent Care)
6221 NW 36TH ST
VIRGINIA GARDENS, FL 33166

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 Susan Nelson's NPI number?

The NPI number for Susan Nelson is 1629277686. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Susan Nelson located?

Susan Nelson practices at 6221 NW 36th St, Virginia Gardens, FL 33166. The listed phone number is (305) 871-3627.

What is Susan Nelson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Susan Nelson enrolled in Medicare?

Yes. Susan 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 Susan Nelson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Susan 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 Susan Nelson was last updated on August 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.