KATHERINE MARIE NELSON MD
NPI 1639466444
Obstetrics & Gynecology in Albuquerque, NM

Q: What is Katherine Nelson's NPI number?

The NPI number for Katherine Nelson is 1639466444. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Q: What is Katherine Nelson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Nelson was last updated on January 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment

4640 JEFFERSON LN NE, ALBUQUERQUE, NM 87109(505) 843-6168(505) 338-3456 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2026, Dec 8, 2020, Oct 9, 2020 (3 updates tracked since 2020).

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About Katherine Marie Nelson Md NPPES

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

KATHERINE MARIE NELSON MD (NPI 1639466444) is an individual obstetrics & gynecology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2020-1104) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2015).

NPPES Registry Identity

NPI1639466444

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKATHERINE MARIE NELSONCredential: MD

Location Address4640 JEFFERSON LN NEAlbuquerque, NM 87109-2127

Mailing Address6320 Riverside Plaza Ln Nw Ste BAlbuquerque, NM 87120-1710 · (505) 843-6168

Phone(505) 843-6168

Fax(505) 338-3456

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2015

Enumeration DateJune 30, 2011

Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1639466444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in NM · MD2020-1104✔ Licensed in TX · BP10041584

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4640 JEFFERSON LN NE, Albuquerque, NM 87109

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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

Katherine Marie 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 ID2567778145

PECOS Enrollment IDI20201215003057

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 2

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.

16 services11 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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

$126.21 typical visit price

range $54.26 – $166.80

Typical copayment $31.55 (range $13.56 – $41.70)

Most-billed visit code 99204

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

ALISHA R SMITH CNM

Advanced Practice Midwife