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, and ordering and referring status from the CMS PECOS system.
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.
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.
What insurance does Matthew Nelson accept?
Health plans from Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare) and Medica 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 with the weekly NPPES data releases published by CMS.
