KRYSTAL DAWN NELSON OD
NPI 1851961445
Optometrist in Gallup, NM

Active since June 28, 2021PECOS EnrolledAccepts Medicare Assignment
73.12/100
CMS Quality Rating
516 EAST NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2021, Jun 28, 2021 (2 updates tracked since 2021).

About Krystal Dawn Nelson Od NPPES

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

KRYSTAL DAWN NELSON OD (NPI 1851961445) is an individual optometrist in Gallup, New Mexico, licensed in Utah (12351314-9934) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851961445
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKRYSTAL DAWN NELSONCredential: OD
Location Address516 EAST NIZHONI BLVDGallup, NM 87301
Mailing Address19125 Us Highway 18Batesland, SD 57716-3072 · (308) 360-3633
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 28, 2021
Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
NPI 1851961445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in UT · 12351314-9934
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
516 EAST NIZHONI BLVD, Gallup, NM 87301

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

Krystal Dawn Nelson Od 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 ID345630638
PECOS Enrollment IDI20211130002073
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 11

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 services53 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.
40 services37 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
39 services39 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
33 services30 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
27 services27 patients
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.
22 services16 patients

Hospital Affiliations CMS Care Compare

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

73.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.63
Improvement Activities40
Cost49.43

Other Providers at the Same Location NPPES 11

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

Dentist
516 EAST NIZHONI BLVD
GALLUP, NM 87301
Pediatrics
516 EAST NIZHONI BLVD
GALLUP, NM 87301
Pediatrics
516 EAST NIZHONI BLVD
GALLUP, NM 87301
Anesthesiology
516 EAST NIZHONI BLVD
GALLUP, NM 87301
Internal Medicine
516 EAST NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 EAST NIZHONI BLVD
GALLUP, NM 87301
Dietitian, Registered
516 EAST NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 EAST NIZHONI BLVD
GALLUP, NM 87301

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 Krystal Nelson's NPI number?

The NPI number for Krystal Nelson is 1851961445. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Krystal Nelson located?

Krystal Nelson practices at 516 East Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Krystal Nelson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Krystal Nelson enrolled in Medicare?

Yes. Krystal 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 Krystal Nelson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Krystal 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 Krystal Nelson affiliated with any hospitals?

According to CMS data, Krystal Nelson is affiliated with Gallup Indian Medical Center.

When was this NPI record last updated?

The NPPES record for Krystal Nelson was last updated on August 5, 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.