DR. MATTHEW PAUL NELSON D.O.
NPI 1720030422
Emergency Medicine in Waupaca, WI
About Dr. Matthew Paul Nelson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MATTHEW PAUL NELSON D.O. (NPI 1720030422) is an individual emergency medicine provider in Waupaca, Wisconsin, licensed in Wisconsin (57397-21) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and maintains a secondary practice location in La Crosse.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 4
Accepted 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
Dr. Matthew Paul Nelson D.o. 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.
Medicare Billing Reassignments
10Medicare enrollment records show Matthew Nelson reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Westfield, WI 53964
- Reassigned Medicare billing, Wisconsin enrollment
- 280 clinicians in this Medicare group
Green Bay, WI 54303
- Reassigned Medicare billing, Wisconsin enrollment
- 104 clinicians in this Medicare group
Green Bay, WI 54301
- Reassigned Medicare billing, Wisconsin enrollment
- 216 clinicians in this Medicare group
Manitowoc, WI 54220
- Reassigned Medicare billing, Wisconsin enrollment
- 350 clinicians in this Medicare group
Elroy, WI 53929
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Josephs Health Services Inc
- 282 clinicians in this Medicare group
Fox Point, WI 53217
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 clinicians in this Medicare group
Muscoda, WI 53573
- Reassigned Medicare billing, Wisconsin enrollment
- 299 clinicians in this Medicare group
Blair, WI 54616
- Reassigned Medicare billing, Wisconsin enrollment
- 293 clinicians in this Medicare group
Spooner, WI 54801
- Reassigned Medicare billing, Wisconsin enrollment
- 62 clinicians in this Medicare group
Grants, NM 87020
- Reassigned Medicare billing, New Mexico enrollment
- 123 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Vincent Hospital
Acute Care Hospitals · Green Bay, WISt Mary's Hospital Medical Center
Acute Care Hospitals · Green Bay, WIHshs St Clare Memorial Hospital
Critical Access Hospitals · Oconto Falls, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54981 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
WAUPACA, WI 54981
WAUPACA, WI 54981
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 Matthew Nelson's NPI number?
The NPI number for Matthew Nelson is 1720030422. It was assigned to this individual provider in the NPPES registry on May 17, 2006.
Where is Matthew Nelson located?
Matthew Nelson practices at 800 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 258-1000.
What is Matthew Nelson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Matthew Nelson enrolled in Medicare?
Yes. Matthew 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.
Which organizations bill Medicare for Matthew Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Nelson reassigns Medicare benefits to 10 organizations: Moundview Memorial Hospital & Clinics, Inc. (Westfield, WI), Vituity-Wisconsin Em Sc (Green Bay, WI), St. Clare Memorial Hospital, Inc. (Green Bay, WI), Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI), St. Joseph's Health Services, Inc. (Elroy, WI) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Nelson accept?
Health plans from Blue Cross and Blue Shield of Texas and CareSource (Common Ground Healthcare) list Matthew 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 Matthew Nelson affiliated with any hospitals?
According to CMS data, Matthew Nelson is affiliated with St Vincent Hospital, St Mary's Hospital Medical Center and Hshs St Clare Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Nelson was last updated on May 5, 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.
# Dr. Matthew Paul Nelson, D.O. · NPI 1720030422
Emergency Medicine physician in Waupaca, Wisconsin. Individual provider, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1720030422 (Entity type: Individual)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 57397-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 RIVERSIDE DR, Waupaca, WI 54981-1943
- **Phone:** (715) 258-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Moundview Memorial Hospital & Clinics, Inc. (NPI 1861829194, Westfield, WI); Vituity-Wisconsin Em Sc (NPI 1558138255, Green Bay, WI); St. Clare Memorial Hospital, Inc. (NPI 1093173791, Green Bay, WI); Froedtert Manitowoc Medical Group, LLC (NPI 1437829975, Manitowoc, WI); St. Joseph's Health Services, Inc. (NPI 1699788273, Elroy, WI); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** May 5, 2022
- **Other identifiers:** Other P01099948 (WI); Other 001753894 (PA); Medicaid 1013578200005 (PA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1720030422) · Data from the CMS NPPES public registry.