SETH NELSON
NPI 1679193957
Family Medicine in Saint Cloud, MN

Q: What is Seth Nelson's NPI number?

The NPI number for Seth Nelson is 1679193957. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Q: What is Seth Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Seth Nelson was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 16, 2020PECOS EnrolledAccepts Medicare Assignment

1555 NORTHWAY DR STE 200, SAINT CLOUD, MN 56303(320) 240-3112(320) 240-3165 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2022, Apr 16, 2020 (2 updates tracked since 2020).

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About Seth Nelson NPPES

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

SETH NELSON (NPI 1679193957) is an individual family medicine provider in Saint Cloud, Minnesota, licensed in Minnesota (70752) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of University Of Minnesota Medical School (2020).

NPPES Registry Identity

NPI1679193957

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSETH NELSON

Location Address1555 NORTHWAY DR STE 200Saint Cloud, MN 56303-4913

Mailing Address1555 Northway Dr Ste 200Saint Cloud, MN 56303-4913 · (320) 240-3157 · Fax (320) 240-3165

Phone(320) 240-3112

Fax(320) 240-3165

Sole ProprietorYes

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2020

Enumeration DateApril 16, 2020

Last NPPES UpdateJuly 22, 20222 updates tracked since enumeration

NPPES CertifiedJuly 22, 2022

✔ NPI 1679193957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 70752

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1555 NORTHWAY DR STE 200, Saint Cloud, MN 56303

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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

Seth Nelson 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 ID4486076973

PECOS Enrollment IDI20220718001182

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

Medicare enrollment records show Seth Nelson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centracare Clinic

Same address

Multi-Specialty

1555 NORTHWAY DR STE 100
Saint Cloud, MN 56303

Reassigned Medicare billing, Minnesota enrollment
1,051 clinicians in this Medicare group

NPI 1881696490 (320) 251-1775

St. Cloud Hospital

Same address

Clinic/Center

1555 NORTHWAY DRIVE, SUITE 200
St Cloud, MN 56303

Reassigned Medicare billing, Minnesota enrollment
415 clinicians in this Medicare group

NPI 1770532426 (320) 240-3157

Centracare Health System - Melrose

28 mi

Critical Access

525 W. MAIN STREET
Melrose, MN 56352

Reassigned Medicare billing, Minnesota enrollment
180 clinicians in this Medicare group

NPI 1720045073 (320) 256-4231

Centracare Health System - Sauk Centre

39 mi

Rural Health

425 ELM ST N
Sauk Centre, MN 56378

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1740553932 (Minnesota)
173 clinicians in this Medicare group

NPI 1578813762 (320) 352-2221

Centracare Health System - Long Prairie

42 mi

Critical Access

50 CENTRACARE DR
Long Prairie, MN 56347

Reassigned Medicare billing, Minnesota enrollment
156 clinicians in this Medicare group

NPI 1164471678 (320) 732-2141

Carris Health LLC

53 mi

Emergency Medicine

301 BECKER AVE SW
Willmar, MN 56201

Reassigned Medicare billing, Minnesota enrollment
179 clinicians in this Medicare group

NPI 1134632680 (320) 235-4543

Centracare Clinic Southwest LLC

53 mi

Multi-Specialty

101 WILLMAR AVE SW
Willmar, MN 56201

Reassigned Medicare billing, Minnesota enrollment
236 clinicians in this Medicare group

NPI 1174106264 (320) 231-5000

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 15

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.

171 services144 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

122 services89 patients

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.

115 services89 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

68 services46 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

53 services48 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

24 services21 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

21 services21 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

21 services20 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

20 services18 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.

18 services18 patients

Blood count, hemoglobin 85018

A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.

17 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

13 services13 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

12 services12 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

12 services12 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

Centracare- Rice Memorial Hospital

Acute Care Hospitals · Willmar, MN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240088

Location301 Becker Ave SWWillmar, MN 56201 · Kandiyohi County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 20

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

SARA TAROKH MD

Student in an Organized Health Care Education/Training Program