CLAIRE B NELSON MD
NPI 1760942262
Family Medicine in Seattle, WA

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
401 BROADWAY, STE 2075, SEATTLE, WA 98104(206) 520-5000 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 7, 2024, May 24, 2023, Feb 2, 2020 and 1 more (4 updates tracked since 2019).

About Claire B Nelson Md NPPES

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

CLAIRE B NELSON MD (NPI 1760942262) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD61176335) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Harborview Medical Center, and is a graduate of University Of Washington School Of Medicine (2019).

NPPES Registry Identity

NPI1760942262
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCLAIRE B NELSONCredential: MD
Location Address401 BROADWAY, STE 2075Seattle, WA 98104-8021
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateMarch 7, 20244 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1760942262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD61176335
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
401 BROADWAY, Seattle, WA 98104

Other Names 1

Former Name (1)Claire B Simon Md

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

Claire B Nelson Md 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 ID648503383
PECOS Enrollment IDI20230525002810
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 Claire Nelson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
401 5TH AVE, SUITE 1200
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 94 clinicians in this Medicare group
Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group
General Acute Care Hospital
1959 NE PACIFIC ST
Seattle, WA 98195
  • Reassigned Medicare billing, Washington enrollment
  • 274 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 2

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.
19 services15 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.
18 services15 patients

Hospital Affiliations CMS Care Compare

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

Harborview Medical Center

Acute Care Hospitals · Seattle, WA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500064
Location325 9th AvenueSeattle, WA 98104 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Social Worker (Clinical)
401 BROADWAY
SEATTLE, WA 98104
Peer Specialist
401 BROADWAY
SEATTLE, WA 98104
Social Worker
401 BROADWAY, 1ST FLOOR
SEATTLE, WA 98104
Social Worker (Clinical)
401 BROADWAY, SUITE 2075
SEATTLE, WA 98104
Pharmacy (Community/Retail Pharmacy)
401 BROADWAY, FIRST FLOOR
SEATTLE, WA 98104
Social Worker (Clinical)
401 BROADWAY
SEATTLE, WA 98104
Counselor (Mental Health)
401 BROADWAY
SEATTLE, WA 98104
Counselor
401 BROADWAY, SUITE 1
SEATTLE, WA 98104

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 Claire Nelson's NPI number?

The NPI number for Claire Nelson is 1760942262. It was assigned to this individual provider in the NPPES registry on March 21, 2019. The provider is also known as Claire B Simon MD.

Where is Claire Nelson located?

Claire Nelson practices at 401 Broadway Ste 2075, Seattle, WA 98104. The listed phone number is (206) 520-5000.

What is Claire Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Claire Nelson enrolled in Medicare?

Yes. Claire 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 Claire Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Nelson reassigns Medicare benefits to 3 organizations: King County Finance (Seattle, WA), The Association Of University Physicians (Seattle, WA) and University Of Washington (Seattle, WA). 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 Claire Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Nelson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Claire 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 Claire Nelson affiliated with any hospitals?

According to CMS data, Claire Nelson is affiliated with Harborview Medical Center.

When was this NPI record last updated?

The NPPES record for Claire Nelson was last updated on March 7, 2024. 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.