DR. JEFFREY J NELSON MD
NPI 1649433608
Otolaryngology in Bismarck, ND
About Dr. Jeffrey J Nelson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY J NELSON MD (NPI 1649433608) is an individual otolaryngology provider in Bismarck, North Dakota, licensed in North Dakota (12499) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains a secondary practice location in Duluth.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jeffrey J 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.
Medicare Billing Reassignments
6Medicare enrollment records show Jeffrey Nelson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bismarck, ND 58504
- Reassigned Medicare billing, North Dakota enrollment
- 779 clinicians in this Medicare group
Ellendale, ND 58436
- Reassigned Medicare billing, North Dakota enrollment
- 1,464 clinicians in this Medicare group
Grand Forks, ND 58201
- Reassigned Medicare billing, North Dakota enrollment
- 701 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 clinicians in this Medicare group
Provo, UT 84604
- Reassigned Medicare billing, Utah enrollment
- 45 clinicians in this Medicare group
Manti, UT 84642
- Reassigned Medicare billing, Utah enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNEssentia Health Duluth
Acute Care Hospitals · Duluth, MNChi St Alexius Health
Acute Care Hospitals · Bismarck, NDSanford Medical Center Fargo
Acute Care Hospitals · Fargo, NDSanford Medical Center Bismarck
Acute Care Hospitals · Bismarck, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Jeffrey Nelson's NPI number?
The NPI number for Jeffrey Nelson is 1649433608. It was assigned to this individual provider in the NPPES registry on July 9, 2008.
Where is Jeffrey Nelson located?
Jeffrey Nelson practices at 701 E Rosser Ave, Bismarck, ND 58501. The listed phone number is (701) 323-8922.
What is Jeffrey Nelson's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Jeffrey Nelson enrolled in Medicare?
Yes. Jeffrey 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.
Which organizations bill Medicare for Jeffrey Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Nelson reassigns Medicare benefits to 6 organizations: Sanford Bismarck (Bismarck, ND), Sanford Medical Center Fargo (Ellendale, ND), Altru Health System (Grand Forks, ND), The Duluth Clinic Ltd (Grand Rapids, MN), Peak Ent Associates (Provo, UT) and 1 more organization, listed in the Medicare section above. 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 Jeffrey Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Nelson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, BridgeSpan Health Company, Medica and Regence BlueCross BlueShield of Utah and 4 other insurers list Jeffrey 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 Jeffrey Nelson affiliated with any hospitals?
According to CMS data, Jeffrey Nelson is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Chi St Alexius Health, Sanford Medical Center Fargo and Sanford Medical Center Bismarck.
When was this NPI record last updated?
The NPPES record for Jeffrey Nelson was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Dr. Jeffrey J Nelson, MD · NPI 1649433608
Otolaryngology physician in Bismarck, North Dakota. Individual provider, active in the CMS NPPES registry since July 9, 2008.
## Identity
- **NPI:** 1649433608 (Entity type: Individual)
- **Enumerated:** July 9, 2008
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 12499 (North Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 701 E ROSSER AVE, Bismarck, ND 58501-4457
- **Phone:** (701) 323-8922 · **Fax:** (701) 323-8018
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Sanford Bismarck (NPI 1811941172, Bismarck, ND); Sanford Medical Center Fargo (NPI 1346256682, Ellendale, ND); Altru Health System (NPI 1043309552, Grand Forks, ND); The Duluth Clinic Ltd (NPI 1184132664, Grand Rapids, MN); Peak Ent Associates (NPI 1346489036, Provo, UT); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toledo College Of Medicine, class of 2004
## Record status
- **NPPES last updated:** April 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649433608) · Data from the CMS NPPES public registry.