EMILY ANN NELSON FNP-C
NPI 1811549934
Nurse Practitioner - Family in Vermillion, SD

Active since July 09, 2019PECOS EnrolledAccepts Medicare Assignment
94/100
CMS Quality Rating
101 S PLUM ST, VERMILLION, SD 57069(605) 624-8643 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Sep 10, 2024, Oct 20, 2021 and 1 more (4 updates tracked since 2019).

About Emily Ann Nelson Fnp-c NPPES

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

EMILY ANN NELSON FNP-C (NPI 1811549934) is an individual family provider in Vermillion, South Dakota, licensed in South Dakota (CP001599) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Sanford Vermillion Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811549934
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY ANN NELSONCredential: FNP-C
Location Address101 S PLUM STVermillion, SD 57069-3306
Mailing Address1104 W 8th StYankton, SD 57078-3306
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 9, 2019
Last NPPES UpdateJuly 10, 20254 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1811549934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SD · CP001599
101 S PLUM ST, Vermillion, SD 57069

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

Emily Ann Nelson Fnp-c 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 ID9638406168
PECOS Enrollment IDI20190807000630
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
16 services16 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57069 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability98.22
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers33 claims73 services$4.77 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier14 claims14 services$13.67 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$8.52 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims14 services$40.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Family Medicine
101 S PLUM ST
VERMILLION, SD 57069
General Practice
101 S PLUM ST
VERMILLION, SD 57069
Family Medicine
101 S PLUM ST
VERMILLION, SD 57069
Physician Assistant (Medical)
101 S PLUM ST
VERMILLION, SD 57069
Pediatrics
101 S PLUM ST
VERMILLION, SD 57069
Family Medicine
101 S PLUM ST
VERMILLION, SD 57069
Physician Assistant (Medical)
101 S PLUM ST
VERMILLION, SD 57069
Physician Assistant (Medical)
101 S PLUM ST
VERMILLION, SD 57069

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 Emily Nelson's NPI number?

The NPI number for Emily Nelson is 1811549934. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Emily Nelson located?

Emily Nelson practices at 101 S Plum St, Vermillion, SD 57069. The listed phone number is (605) 624-8643.

What is Emily Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Emily Nelson enrolled in Medicare?

Yes. Emily 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 Emily Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 4 other insurers list Emily 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 Emily Nelson affiliated with any hospitals?

According to CMS data, Emily Nelson is affiliated with Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Emily Nelson was last updated on July 10, 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.