DANIEL NELSON M.D.
NPI 1750812491
Internal Medicine - Clinical Cardiac Electrophysiology in Appleton, WI

Active since March 24, 2017PECOS EnrolledAccepts Medicare Assignment
5045 W GRANDE MARKET DR, APPLETON, WI 54913(920) 886-9380 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 3, 2023, Feb 20, 2023, Mar 24, 2017 (3 updates tracked since 2017).

About Daniel Nelson M.d. NPPES

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

DANIEL NELSON M.D. (NPI 1750812491) is an individual clinical cardiac electrophysiology provider in Appleton, Wisconsin, licensed in Wisconsin (69786-20) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1750812491
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDANIEL NELSONCredential: M.D.
Location Address5045 W GRANDE MARKET DRAppleton, WI 54913-8517
Mailing Address5045 W Grande Market DrAppleton, WI 54913-8517 · (920) 886-9380
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 24, 2017
Last NPPES UpdateOctober 16, 20253 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1750812491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License✔ Licensed in WI · 69786-20
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
5045 W GRANDE MARKET DR, Appleton, WI 54913

Other Identifiers 1

Medicaid100080499WI

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

Daniel 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 ID8921348038
PECOS Enrollment IDI20240930002350
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

2

Medicare enrollment records show Daniel Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
5045 W GRANDE MARKET DR
Appleton, WI 54913
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1730126392 (Wisconsin)
  • 32 clinicians in this Medicare group
Critical Access
614 MEMORIAL DR
Chilton, WI 53014
  • Reassigned Medicare billing, Wisconsin enrollment
  • 140 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.

Hospital Affiliations CMS Care Compare

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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 19

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

Nurse Practitioner
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Internal Medicine (Cardiovascular Disease)
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Internal Medicine (Interventional Cardiology)
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Physician Assistant
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Internal Medicine (Cardiovascular Disease)
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Nurse Practitioner
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Nurse Practitioner
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Internal Medicine (Cardiovascular Disease)
5045 W GRANDE MARKET DR
APPLETON, WI 54913

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 Daniel Nelson's NPI number?

The NPI number for Daniel Nelson is 1750812491. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Daniel Nelson located?

Daniel Nelson practices at 5045 W Grande Market Dr, Appleton, WI 54913. The listed phone number is (920) 886-9380.

What is Daniel Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Daniel Nelson enrolled in Medicare?

Yes. Daniel 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 Daniel Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Nelson reassigns Medicare benefits to 2 organizations: Ascension Medical Group-Fox Valley Wisconsin, Inc (Appleton, WI) and Ascension Calumet Hospital, Inc (Chilton, WI). 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 Daniel Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Daniel 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 Daniel Nelson affiliated with any hospitals?

According to CMS data, Daniel Nelson is affiliated with Ascension NE Wisconsin - St Elizabeth Campus.

When was this NPI record last updated?

The NPPES record for Daniel Nelson was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.