DR. MICHAEL E NELSON M.D.
NPI 1700855194
Internal Medicine - Pulmonary Disease in Shawnee Mission, KS

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
7450 KESSLER ST STE 204, SHAWNEE MISSION, KS 66204(913) 632-9770(913) 632-9799 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael E Nelson M.d. NPPES

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

DR. MICHAEL E NELSON M.D. (NPI 1700855194) is an individual pulmonary disease provider in Shawnee Mission, Kansas, licensed in Kansas (0421467) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1985).

NPPES Registry Identity

NPI1700855194
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MICHAEL E NELSONCredential: M.D.
Location Address7450 KESSLER ST STE 204Shawnee Mission, KS 66204-2553
Mailing Address7450 Kessler St Ste 204Shawnee Mission, KS 66204-2553 · (913) 632-9770 · Fax (913) 632-9799
Fax(913) 632-9799
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1985
Enumeration DateMarch 16, 2006
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
NPI 1700855194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in KS · 0421467
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0421467 (KS)
7450 KESSLER ST STE 204, Shawnee Mission, KS 66204

Other Identifiers 1

Medicaid100139560BKS

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

Dr. Michael E Nelson M.d. 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 ID1951489509
PECOS Enrollment IDI20091228000078
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 16

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.
303 services207 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
287 services214 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.
187 services170 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
115 services60 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.
99 services73 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
49 services47 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66204 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 32

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers190 claims190 services$31.04 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers47 claims92 services$1.26 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
8 suppliers23 claims23 services$13.87 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers114 claims114 services$73.85 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers117 claims305 services$29.58 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
14 suppliers146 claims773 services$16.44 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 8

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

Internal Medicine (Pulmonary Disease)
7450 KESSLER ST STE 204
MERRIAM, KS 66204
Nurse Practitioner (Adult Health)
7450 KESSLER ST STE 204
MERRIAM, KS 66204
Internal Medicine (Pulmonary Disease)
7450 KESSLER ST STE 204
SHAWNEE MISSION, KS 66204
Internal Medicine (Pulmonary Disease)
7450 KESSLER ST STE 204
SHAWNEE MISSION, KS 66204
Nurse Practitioner
7450 KESSLER ST STE 204
SHAWNEE MISSION, KS 66204
Internal Medicine (Pulmonary Disease)
7450 KESSLER ST STE 204
MERRIAM, KS 66204
Internal Medicine (Pulmonary Disease)
7450 KESSLER ST STE 204
SHAWNEE MISSION, KS 66204
Internal Medicine (Pulmonary Disease)
7450 KESSLER ST STE 204
OVERLAND PARK, KS 66204

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 Michael Nelson's NPI number?

The NPI number for Michael Nelson is 1700855194. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Michael Nelson located?

Michael Nelson practices at 7450 Kessler St Ste 204, Shawnee Mission, KS 66204. The listed phone number is (913) 632-9770.

What is Michael Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Nelson enrolled in Medicare?

Yes. Michael 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 Michael Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Michael 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 Michael Nelson affiliated with any hospitals?

According to CMS data, Michael Nelson is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Michael Nelson was last updated on June 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.