PAUL D NELSEN MD
NPI 1699767301
Family Medicine in Appleton, WI

Q: What is Paul Nelsen's NPI number?

The NPI number for Paul Nelsen is 1699767301. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Paul Nelsen'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 Paul Nelsen was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 18, 2005PECOS EnrolledAccepts Medicare Assignment

2600 S HERITAGE WOODS DR, APPLETON, WI 54915(920) 225-7875 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2023, Jan 10, 2023 (2 updates tracked since 2023).

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About Paul D Nelsen Md NPPES

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

PAUL D NELSEN MD (NPI 1699767301) is an individual family medicine provider in Appleton, Wisconsin, licensed in Wisconsin (20430-020) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of University Of Nebraska College Of Medicine (1975).

NPPES Registry Identity

NPI1699767301

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePAUL D NELSENCredential: MD

Location Address2600 S HERITAGE WOODS DRAppleton, WI 54915-1408

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 748-7000 · Fax (920) 748-7236

Phone(920) 225-7875

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1975

Enumeration DateAugust 18, 2005

Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2023

✔ NPI 1699767301 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 WI · 20430-020

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 ListedSurgeryTaxonomy 208600000X · License 20430-020 (WI)

2600 S HERITAGE WOODS DR, Appleton, WI 54915

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Other Identifiers 1

Medicaid30359200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).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

Paul D Nelsen 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 ID4284626961

PECOS Enrollment IDI20040401000997

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

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

19 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520045

Location130 2nd StNeenah, WI 54956 · Winnebago County

Emergency services Birthing friendly

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521355

Location225 Memorial DriveBerlin, WI 54923 · Green Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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.

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.

LORI J SCHAETZ OTR, CLT

Occupational Therapist