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KIA FAY NELSON MD
NPI 1770166001
Pediatrics in Madison, WI

Active since May 04, 2021PECOS Enrolled
749 UNIVERSITY ROW STE 200, MADISON, WI 53705(608) 263-6400 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2025, May 4, 2021 (2 updates tracked since 2021).

About Kia Fay Nelson Md NPPES

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

KIA FAY NELSON MD (NPI 1770166001) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (84345-20) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770166001
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKIA FAY NELSONCredential: MD
Location Address749 UNIVERSITY ROW STE 200Madison, WI 53705-1465
Mailing Address749 University Row Ste 200Madison, WI 53705-1465 · (608) 263-6400
Phone(608) 263-6400
Sole ProprietorNo
Enumeration DateMay 4, 2021
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1770166001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 84345-20
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
749 UNIVERSITY ROW STE 200, Madison, WI 53705
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Other Names 1

Former Name (1)Kia Parins

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kia Fay Nelson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kia Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sauk Prairie Healthcare Inc
17 mi
Rural Health
160 VALLEY DR
Lodi, WI 53555
  • Reassigned Medicare billing, Wisconsin enrollment
  • 110 clinicians in this Medicare group
NPI 1225003445 (608) 592-3296

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53705 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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 20

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

DR. LEAH MERRELL GOBER MD
Student in an Organized Health Care Education/Training Program
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
SAMUEL MICHAEL KEFER MD
Emergency Medicine
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
ANKITHA MADDE
Obstetrics & Gynecology
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
JACOB ALEXANDER BETHEL MD
Student in an Organized Health Care Education/Training Program
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
DR. SWETHA RAVI DO
Student in an Organized Health Care Education/Training Program
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
DR. WARDAH RAFAQAT M.B.B.S.
Surgery
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
NNENNA ESTHER OKAFOR MD
Student in an Organized Health Care Education/Training Program
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
CALEB JOHN SCHULZ MD
Student in an Organized Health Care Education/Training Program
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400

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 Kia Nelson's NPI number?

The NPI number for Kia Nelson is 1770166001. It was assigned to this individual provider in the NPPES registry on May 4, 2021. The provider is also known as Kia Parins.

Where is Kia Nelson located?

Kia Nelson practices at 749 University Row Ste 200, Madison, WI 53705. The listed phone number is (608) 263-6400.

What is Kia Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kia Nelson enrolled in Medicare?

Yes. Kia Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kia Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kia Nelson reassigns Medicare benefits to Sauk Prairie Healthcare Inc (Lodi, WI). The 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 Kia Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kia Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Kia 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.

When was this NPI record last updated?

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