ANDREA M NELSON APNP
NPI 1689984841
Nurse Practitioner - Family in Eau Claire, WI

Active since October 20, 2010PECOS EnrolledAccepts Medicare Assignment
79.21/100
CMS Quality Rating
3802 OAKWOOD MALL DR, EAU CLAIRE, WI 54701(715) 839-9280 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Dec 28, 2021, Dec 20, 2021 and 1 more (4 updates tracked since 2016).

About Andrea M Nelson Apnp NPPES

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

ANDREA M NELSON APNP (NPI 1689984841) is an individual family provider in Eau Claire, Wisconsin, licensed in Wisconsin (4221-33) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1689984841
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA M NELSONCredential: APNP
Location Address3802 OAKWOOD MALL DREau Claire, WI 54701-3016
Mailing Address719 W Hamilton Ave Ste BEau Claire, WI 54701-6970 · (715) 552-6589 · Fax (715) 835-6370
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 20, 2010
Last NPPES UpdateMarch 24, 20254 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1689984841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 4221-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 143378 (WI)
3802 OAKWOOD MALL DR, Eau Claire, WI 54701

Other Names 1

Former Name (1)Andrea M Bauer Np

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

Andrea M Nelson Apnp 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 ID1355523275
PECOS Enrollment IDI20110314000200
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 14

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.

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.
102 services74 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.
71 services55 patients
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.
65 services54 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.
45 services32 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.
43 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

79.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.43
Promoting Interoperability84
Improvement Activities40
Cost60.98

Referred Medical Equipment & Supplies CMS DME claims 3

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
2 suppliers12 claims12 services$7.71 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$774.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers13 claims13 services$71.79 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.

Family Medicine
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Family Medicine
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Internal Medicine
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Clinic/Center (Sleep Disorder Diagnostic)
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Nurse Practitioner (Family)
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Nurse Practitioner
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Nurse Practitioner (Family)
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701
Internal Medicine
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 54701

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 Andrea Nelson's NPI number?

The NPI number for Andrea Nelson is 1689984841. It was assigned to this individual provider in the NPPES registry on October 20, 2010. The provider is also known as Andrea M Bauer Np.

Where is Andrea Nelson located?

Andrea Nelson practices at 3802 Oakwood Mall Dr, Eau Claire, WI 54701. The listed phone number is (715) 839-9280.

What is Andrea Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Nelson enrolled in Medicare?

Yes. Andrea 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 Andrea Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan list Andrea 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 Andrea Nelson was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.