DR. DONNA J NIELSEN M.D
NPI 1821007345
Family Medicine in Chicago, IL

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
3860 W OGDEN AVE, CHICAGO, IL 60623(872) 588-3000(872) 588-3021 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Donna J Nielsen M.d NPPES

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

DR. DONNA J NIELSEN M.D (NPI 1821007345) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (36105514) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1997).

NPPES Registry Identity

NPI1821007345
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DONNA J NIELSENCredential: M.D
Location Address3860 W OGDEN AVEChicago, IL 60623-2460
Mailing Address3860 W Ogden AveChicago, IL 60623-2460 · (872) 588-3000 · Fax (872) 588-3021
Fax(872) 588-3021
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1997
Enumeration DateAugust 5, 2006
Last NPPES UpdateJune 9, 2023
NPPES CertifiedJune 9, 2023
NPI 1821007345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 36105514
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.
3860 W OGDEN AVE, Chicago, IL 60623

Other Names 1

Former Name (1)Donna J Peterson

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

Dr. Donna J Nielsen M.d 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 ID5092864116
PECOS Enrollment IDI20090520000506
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60623 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Internal Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Counselor (Professional)
3860 W OGDEN AVE
CHICAGO, IL 60623
Family Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Pediatrics
3860 W OGDEN AVE
CHICAGO, IL 60623
Dentist
3860 W OGDEN AVE
CHICAGO, IL 60623
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Nurse Practitioner
3860 W OGDEN AVE
CHICAGO, IL 60623

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 Donna Nielsen's NPI number?

The NPI number for Donna Nielsen is 1821007345. It was assigned to this individual provider in the NPPES registry on August 5, 2006. The provider is also known as Donna J Peterson.

Where is Donna Nielsen located?

Donna Nielsen practices at 3860 W Ogden Ave, Chicago, IL 60623. The listed phone number is (872) 588-3000.

What is Donna Nielsen's specialty?

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

Is Donna Nielsen enrolled in Medicare?

Yes. Donna Nielsen 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 Donna Nielsen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Donna Nielsen 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 Donna Nielsen was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.