ERIK C NELSON AA NPI 1831425271
Anesthesiologist Assistant in West Palm Beach, FL

About ERIK C NELSON AA

Erik Nelson is a provider established in West Palm Beach, Florida and his medical specialization is Anesthesiologist Assistant with more than 14 years of experience. The NPI number of this provider is 1831425271 and was assigned on October 2009. The practitioner's primary taxonomy code is 367H00000X with license number AA49 (FL). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1831425271
Provider Name ERIK C NELSON AA
Location Address2201 45TH ST WEST PALM BEACH, FL 33407
Location Phone(561) 863-3970
Mailing Address1613 HARRISON PKWY SUITE 200 SUNRISE, FL 33323
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2009
Is Sole Proprietor?No
Enumeration Date10-20-2009
Last Update Date10-20-2009

Erik Nelson is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 79.1, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code367H00000X
ClassificationAnesthesiologist Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.AA49
License StateFL
Taxonomy DescriptionAn individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Business Address

2201 45TH ST
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 863-3970
Fax: (954) 514-3960

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Mailing Address

1613 HARRISON PKWY
SUITE 200
SUNRISE, FL
ZIP 33323
Phone: (954) 838-2371
Fax: (954) 514-3960


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID1557402468
PECOS Enrollment IDI20170516002009
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 75.4
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 79.1
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 15Anesthesia for open or endoscopic total knee joint replacement (HCPCS:01402)
  • 14Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 13Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831425271
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28618210214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 8 + 2 + 1 + 0 + 2 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1831425271 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568418200COLUMBIA HOSPITAL PALM BEACHES LIMITED PARTNERSHIP
Organization
Psychiatric Unit2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1023064573MD PATH LLC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1184661266COLUMBIA HOSPITAL PALM BEACHES LIMITED PARTNERSHIP
Organization
General Acute Care Hospital2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1639116031GLORIA E DUNKIN MD PA
Organization
Psychiatry & Neurology (Psychiatry)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1134158207MR. RICHARD C KULLEN III PA-C
Individual
Physician Assistant2201 45TH ST EMERGENCY ROOM
WEST PALM BEACH, FL 33407
(561) 863-3901
1639108707DR. RAMIRO A DE LA GUERRA M.D.
Individual
Emergency Medicine2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1386676682MS. STASHA LYNN MARTELLA PA-C
Individual
Physician Assistant2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1588743652PALM BEACHES EKG READERS
Organization
Internal Medicine (Cardiovascular Disease)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1316006703DR. GLORIA E DUNKIN M.D.
Individual
Psychiatry & Neurology (Psychiatry)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1467589267 THELMA ELAINE JOHNSON RN.,RNFA
Individual
Physician Assistant (Surgical)2201 45TH ST COLUMBIA HOSPITAL
WEST PALM BEACH, FL 33407
(561) 863-3855
1205094356 MELISSA JANOSEK LCSW
Individual
Social Worker (Clinical)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 863-2143
1629233515 LARISSA LEMBERT-TEZANOS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1881829281DR. DAVID BOJAN M.D.
Individual
Emergency Medicine2201 45TH ST EMERGENCY DEPARTMENT
WEST PALM BEACH, FL 33407
(561) 863-3901
1538462130EAST FLORIDA BEHAVIORAL HEALTH NETWORK, LLC
Organization
Psychiatry & Neurology (Psychiatry)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 863-3824
1427353648FLORIDA PEDIATRIC CRITICAL CARE
Organization
Pediatrics2201 45TH ST
WEST PALM BEACH, FL 33407
(888) 382-5603
1588937346FL-I MEDICAL SERVICES, P.A.
Organization
Emergency Medicine2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1508112772DR. GEORGE A GARCIA JR. D.O.
Individual
Internal Medicine2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1881898963MRS. SHELBY DARLENE NORRIS MSN ARNP
Individual
Nurse Practitioner2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 964-7511
1528238482 VALERIYA Y SHAROVA M.D.
Individual
Psychiatry & Neurology (Psychiatry)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 964-7511
1578516316MS. MARLYN LISA YASSEN PA-C
Individual
Physician Assistant (Medical)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 964-7511

Frequently Asked Questions

What is Erik Nelson AA NPI number?

The NPI number assigned to this healthcare provider is 1831425271, registered as an "individual" on October 20, 2009

Where is Erik Nelson AA located?

The provider is located at 2201 45th St West Palm Beach, Fl 33407 and the phone number is (561) 863-3970

Which is Erik Nelson AA specialty?

The provider's speciality is Anesthesiologist Assistant

How many years of experience does Erik Nelson AA have?

The provider has more than 14 years of experience.

What are some of the services provided by Erik Nelson AA?

The most common procedures or services performed by this practitioner are: Anesthesia for open or endoscopic total knee joint replacement, Anesthesia for procedure on gastrointestinal tract using an endoscope and Anesthesia for procedure on lower intestine using an endoscope.

How do I update my NPI information?

The NPI record of Erik Nelson AA was last updated on October 20, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.