PATRICIA KAY NELSON APNP
NPI 1770968521
Nurse Practitioner in Wauwatosa, WI

Active since July 22, 2015PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
1155 N HONEY CREEK PKWY, WAUWATOSA, WI 53213(414) 615-5900 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2025, Nov 9, 2016 (2 updates tracked since 2016).

About Patricia Kay Nelson Apnp NPPES

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

PATRICIA KAY NELSON APNP (NPI 1770968521) is an individual nurse practitioner in Wauwatosa, Wisconsin, licensed in Wisconsin (6485) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains a secondary practice location in Mequon.

NPPES Registry Identity

NPI1770968521
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePATRICIA KAY NELSONCredential: APNP
Location Address1155 N HONEY CREEK PKWYWauwatosa, WI 53213-3189
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 22, 2015
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1770968521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 6485
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1155 N HONEY CREEK PKWY, Wauwatosa, WI 53213

Other Names 1

Former Name (1)Patricia Kay O'connell

Secondary Practice Location 1

Location 113133 N Port Washington Rd, Suite G-18Mequon, WI 53097-2419 · Phone (262) 243-5000 · Fax (262) 243-5317

Other Identifiers 1

Medicaid1770968521WI

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

Patricia Kay Nelson Apnp 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 ID3072821412
PECOS Enrollment IDI20151005000174
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
76 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
68 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
64 services36 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53213 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.

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 14

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

Hospice Care, Community Based
1155 N HONEY CREEK PKWY
WAUWATOSA, WI 53213
Internal Medicine (Hospice and Palliative Medicine)
1155 N HONEY CREEK PKWY
WAUWATOSA, WI 53213
Family Medicine
1155 N HONEY CREEK PKWY
WAUWATOSA, WI 53213
Nurse Practitioner
1155 N HONEY CREEK PKWY
WAUWATOSA, WI 53213
Internal Medicine (Hospice and Palliative Medicine)
1155 N HONEY CREEK PKWY
WAUWATOSA, WI 53213
Nurse Practitioner
1155 N HONEY CREEK PKWY
WAUWATOSA, WI 53213
Internal Medicine (Hospice and Palliative Medicine)
1155 N HONEY CREEK PKWY
WAUWATOSA, WI 53213
Nurse Practitioner
1155 N HONEY CREEK PKWY
WAUWATOSA, WI 53213

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 Patricia Nelson's NPI number?

The NPI number for Patricia Nelson is 1770968521. It was assigned to this individual provider in the NPPES registry on July 22, 2015. The provider is also known as Patricia Kay O'connell.

Where is Patricia Nelson located?

Patricia Nelson practices at 1155 N Honey Creek Pkwy, Wauwatosa, WI 53213. The listed phone number is (414) 615-5900.

What is Patricia Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Patricia Nelson enrolled in Medicare?

Yes. Patricia 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 Patricia Nelson accept?

Health plans from CareSource (Common Ground Healthcare) list Patricia 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 Patricia Nelson affiliated with any hospitals?

According to CMS data, Patricia Nelson is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Nelson was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.