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KATHERINE NELSON
NPI 1740940659
Nurse Practitioner - Family in Lansing, MI

Active since December 20, 2021PECOS EnrolledAccepts Medicare Assignment
1140 E MICHIGAN AVE STE 400, LANSING, MI 48912(517) 364-9650 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 15, 2023, Dec 20, 2021 (2 updates tracked since 2021).

About Katherine Nelson NPPES

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

KATHERINE NELSON (NPI 1740940659) is an individual family provider in Lansing, Michigan, licensed in Michigan (4704303676) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740940659
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE NELSON
Location Address1140 E MICHIGAN AVE STE 400Lansing, MI 48912-1806
Mailing Address4410 Congdon DrWilliamston, MI 48895-9414 · (517) 282-6782
Phone(517) 364-9650
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 20, 2021
Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
✔ NPI 1740940659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704303676
1140 E MICHIGAN AVE STE 400, Lansing, MI 48912
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Katherine Nelson 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 ID4183016942
PECOS Enrollment IDI20220128000386
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Katherine Nelson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward W. Sparrow Hospital Association
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1140 E MICHIGAN AVE STE 300
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1467197251 (Michigan)
  • 916 clinicians in this Medicare group
NPI 1033162326 (517) 364-5224
Sparrow Clinton Hospital
18 mi
Multi-Specialty
901 S OAKLAND ST
Saint Johns, MI 48879
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1093809824 (Michigan)
  • 114 clinicians in this Medicare group
NPI 1306893078 (989) 224-2338
Sparrow Carson Hospital
21 mi
Family Medicine
11017 W 3RD ST
Fowler, MI 48835
  • Reassigned Medicare billing, Michigan enrollment
  • 215 clinicians in this Medicare group
NPI 1619124328 (989) 593-2525

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.

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.
147 services112 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.
79 services65 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.
21 services21 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number231326
Location805 S OaklandSaint Johns, MI 48879 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

JESSICA MARY DELCORVO NP-C
Nurse Practitioner (Primary Care)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Ingham County (517) 364-9650
ALI H. SHEIKH D.O
Internal Medicine (Cardiovascular Disease)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Ingham County (517) 364-9650
GREGORY JOHN HAYTER NP
Nurse Practitioner (Adult Health)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Ingham County (517) 364-9650
FADI MOHAMMADSAEED S ALREEFI M.D
Internal Medicine (Cardiovascular Disease)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Ingham County (419) 921-2531
BRIAN UPPER P.A.
Physician Assistant
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Ingham County (517) 364-9650
DR. RANJAN K THAKUR MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Ingham County (517) 364-9650
ADNAN KASSIER M.D.
Internal Medicine (Interventional Cardiology)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Ingham County (517) 364-9650
DR. TODD G HICKOX DO
Internal Medicine (Cardiovascular Disease)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Ingham County (517) 364-9650

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 Katherine Nelson's NPI number?

The NPI number for Katherine Nelson is 1740940659. It was assigned to this individual provider in the NPPES registry on December 20, 2021.

Where is Katherine Nelson located?

Katherine Nelson practices at 1140 E Michigan Ave Ste 400, Lansing, MI 48912. The listed phone number is (517) 364-9650.

What is Katherine Nelson's specialty?

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

Is Katherine Nelson enrolled in Medicare?

Yes. Katherine 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 Katherine Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Nelson reassigns Medicare benefits to 3 organizations: Edward W. Sparrow Hospital Association (Lansing, MI), Sparrow Clinton Hospital (Saint Johns, MI) and Sparrow Carson Hospital (Fowler, MI). 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 Katherine Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Nelson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Katherine 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 Katherine Nelson affiliated with any hospitals?

According to CMS data, Katherine Nelson is affiliated with Edward W Sparrow Hospital and Sparrow Clinton Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Nelson was last updated on December 15, 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.