CATHERINE A NELSON DO
NPI 1881004042
Family Medicine in Decorah, IA

Active since April 28, 2014PECOS EnrolledAccepts Medicare Assignment
1830 STATE HIGHWAY 9, DECORAH, IA 52101(563) 382-3140 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Oct 17, 2017 and 1 more (4 updates tracked since 2017).

About Catherine A Nelson Do NPPES

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

CATHERINE A NELSON DO (NPI 1881004042) is an individual family medicine provider in Decorah, Iowa, licensed in Iowa (DO-05013) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Gundersen Palmer Lutheran Hospital And Clinics, and maintains a secondary practice location in La Crosse.

NPPES Registry Identity

NPI1881004042
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCATHERINE A NELSONCredential: DO
Location Address1830 STATE HIGHWAY 9Decorah, IA 52101-7301
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 28, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1881004042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IA · DO-05013 Licensed in WI · 65533
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.
1830 STATE HIGHWAY 9, Decorah, IA 52101

Secondary Practice Location 1

Location 11836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300

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

Catherine A Nelson Do 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 ID4183937105
PECOS Enrollment IDI20170831002592
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 42

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.
318 services197 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
225 services144 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.
178 services133 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
153 services153 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
140 services13 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
123 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Gundersen Palmer Lutheran Hospital And Clinics

Critical Access Hospitals · West Union, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161316
Location112 Jefferson StreetWest Union, IA 52175 · Fayette County
Emergency services

Veterans Memorial Hospital

Critical Access Hospitals · Waukon, IA
OwnershipGovernment - Local
CMS Certification Number161318
Location40 1st Street SEWaukon, IA 52172 · Allamakee County
Emergency services

Regional Health Services Of Howard County

Critical Access Hospitals · Cresco, IA
OwnershipGovernment - Local
CMS Certification Number161328
Location235 8th Avenue WestCresco, IA 52136 · Howard County
Emergency services Birthing friendly

Winnmed

Critical Access Hospitals · Decorah, IA
OwnershipGovernment - Local
CMS Certification Number161371
Location901 Montgomery StreetDecorah, IA 52101 · Winneshiek County
Emergency services

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52101 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
5 suppliers31 claims76 services$5.30 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims11 services$0.82 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers56 claims56 services$185.34 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 20

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
1830 STATE HIGHWAY 9
DECORAH, IA 52101
Psychiatry & Neurology (Psychiatry)
1830 STATE HIGHWAY 9
DECORAH, IA 52101
Optometrist
1830 STATE HIGHWAY 9
DECORAH, IA 52101
Family Medicine
1830 STATE HIGHWAY 9
DECORAH, IA 52101
Surgery
1830 STATE HIGHWAY 9
DECORAH, IA 52101
Surgery
1830 STATE HIGHWAY 9
DECORAH, IA 52101
Family Medicine
1830 STATE HIGHWAY 9
DECORAH, IA 52101
Podiatrist
1830 STATE HIGHWAY 9
DECORAH, IA 52101

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 Catherine Nelson's NPI number?

The NPI number for Catherine Nelson is 1881004042. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Catherine Nelson located?

Catherine Nelson practices at 1830 State Highway 9, Decorah, IA 52101. The listed phone number is (563) 382-3140.

What is Catherine Nelson's specialty?

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

Is Catherine Nelson enrolled in Medicare?

Yes. Catherine 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 Catherine Nelson accept?

Health plans from Aspirus Health Plan, Medica and Quartz list Catherine 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 Catherine Nelson affiliated with any hospitals?

According to CMS data, Catherine Nelson is affiliated with Gundersen Palmer Lutheran Hospital And Clinics, Veterans Memorial Hospital, Regional Health Services Of Howard County, Winnmed and Gundersen Lutheran Medical Center.

When was this NPI record last updated?

The NPPES record for Catherine Nelson was last updated on July 21, 2022. 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.