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DR. NELSON M. DELA ROSA MD
NPI 1669530564
Internal Medicine in Springfield, MO

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
1965 S FREMONT AVE, SUITE 350, SPRINGFIELD, MO 65804(417) 820-3500(417) 820-7852 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nelson M. Dela Rosa Md NPPES

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

DR. NELSON M. DELA ROSA MD (NPI 1669530564) is an individual internal medicine provider in Springfield, Missouri, licensed in Missouri (116782) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1669530564
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NELSON M. DELA ROSACredential: MD
Location Address1965 S FREMONT AVE, SUITE 350Springfield, MO 65804-2201
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620
Phone(417) 820-3500
Fax(417) 820-7852
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateDecember 4, 2006
Last NPPES UpdateMay 3, 2013
✔ NPI 1669530564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 116782
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1965 S FREMONT AVE, Springfield, MO 65804
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Other Identifiers 3

Medicare PIN158013268MO
Medicare UPING41398MO
Medicaid203794409MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Nelson M. Dela Rosa 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 ID1456485390
PECOS Enrollment IDI20100814000206
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 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.
462 services243 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.
178 services178 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
69 services68 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
66 services65 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
19 services17 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Mercy Hospital Aurora

Critical Access Hospitals · Aurora, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261316
Location500 Porter AvenueAurora, MO 65605 · Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers31 claims78 services$5.88 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims15 services$0.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JENNIFER ANN DALE RPH
Pharmacist
1965 S FREMONT AVE, SUITE 140
SPRINGFIELD, MO 65804
Greene County (417) 820-3577
DR. ROBERT M CAVAGNOL MD
Surgery
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 820-3800
MATTHEW C LUNDIEN MD
Pediatrics (Pediatric Pulmonology)
1965 S FREMONT AVE, STE 220
SPRINGFIELD, MO 65804
Greene County (417) 820-9055
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Durable Medical Equipment & Medical Supplies
1965 S FREMONT AVE, SUITE 130
SPRINGFIELD, MO 65804
Greene County (417) 820-5150
DONNA MARIE IRISH APRN-BC, GNP
Nurse Practitioner (Gerontology)
1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804
Greene County (417) 820-2936
DR. MARK J. WALTERSKIRCHEN M.D.
Urology
1965 S FREMONT AVE, SUITE 370
SPRINGFIELD, MO 65804
Greene County (417) 820-0300
CHRISTOPHER A CHAFFIN PA
Physician Assistant
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 820-3800
DR. MARIA C. DELA ROSA MD
Internal Medicine (Geriatric Medicine)
1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804
Greene County (417) 820-3760

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 Nelson Dela Rosa's NPI number?

The NPI number for Nelson Dela Rosa is 1669530564. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Nelson Dela Rosa located?

Nelson Dela Rosa practices at 1965 S Fremont Ave Suite 350, Springfield, MO 65804. The listed phone number is (417) 820-3500.

What is Nelson Dela Rosa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nelson Dela Rosa enrolled in Medicare?

Yes. Nelson Dela Rosa 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 Nelson Dela Rosa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Nelson Dela Rosa 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 Nelson Dela Rosa affiliated with any hospitals?

According to CMS data, Nelson Dela Rosa is affiliated with Mercy Hospital Springfield and Mercy Hospital Aurora.

When was this NPI record last updated?

The NPPES record for Nelson Dela Rosa was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.