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YVONNE SUE NELSON MD
NPI 1790764603
Family Medicine in Stamford, NY

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment
28650 STATE HIGHWAY 23, STAMFORD, NY 12167(607) 652-2537(607) 652-2719 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Yvonne Sue Nelson Md NPPES

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

YVONNE SUE NELSON MD (NPI 1790764603) is an individual family medicine provider in Stamford, New York, licensed in North Carolina (28675) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and maintains a secondary practice location in Reidsville.

NPPES Registry Identity

NPI1790764603
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameYVONNE SUE NELSONCredential: MD
Location Address28650 STATE HIGHWAY 23Stamford, NY 12167-1712
Mailing Address28650 State Highway 23Stamford, NY 12167-1712 · (607) 652-2537 · Fax (607) 652-2719
Phone(607) 652-2537
Fax(607) 652-2719
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJanuary 10, 2006
Last NPPES UpdateOctober 1, 2021
NPPES CertifiedSeptember 30, 2021
✔ NPI 1790764603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 28675
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.
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 28675 (NC)
28650 STATE HIGHWAY 23, Stamford, NY 12167
Open in Google Maps ↗

Secondary Practice Location 1

Location 11560 Freeway Dr Ste FReidsville, NC 27320-3248 · Phone (336) 951-6180 · Fax (336) 951-6188

Other Identifiers 9

Other8962117Medicaid
Other0929764001Cigna
Other765229Aetna Hmo
Other800214Partners Medicare
Medicaid8962117NC
OtherB5214Medcost
Other62117Bcbs
Other2787393Aetna Us Healthcare
Other080193481Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC.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

Yvonne Sue 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 ID6103987607
PECOS Enrollment IDI20170911000169
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 6

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.
82 services69 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.
29 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
17 services17 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
17 services15 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12167 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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

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

EILEEN C KING
Physician Assistant
28650 STATE HIGHWAY 23
STAMFORD, NY 12167
Delaware County (607) 652-2537

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 Yvonne Nelson's NPI number?

The NPI number for Yvonne Nelson is 1790764603. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Yvonne Nelson located?

Yvonne Nelson practices at 28650 State Highway 23, Stamford, NY 12167. The listed phone number is (607) 652-2537.

What is Yvonne Nelson's specialty?

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

Is Yvonne Nelson enrolled in Medicare?

Yes. Yvonne 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 Yvonne Nelson accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Yvonne 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 Yvonne Nelson affiliated with any hospitals?

According to CMS data, Yvonne Nelson is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Yvonne Nelson was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.