BRIAN DEANE NELSON MD
NPI 1881683696
Hospitalist in Edina, MN

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
88.13/100
CMS Quality Rating
6401 FRANCE AVE S, EDINA, MN 55435(952) 924-5000 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian Deane Nelson Md NPPES

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

BRIAN DEANE NELSON MD (NPI 1881683696) is an individual hospitalist provider in Edina, Minnesota, licensed in Minnesota (40084) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and maintains a secondary practice location in St Cloud.

NPPES Registry Identity

NPI1881683696
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBRIAN DEANE NELSONCredential: MD
Location Address6401 FRANCE AVE SEdina, MN 55435-2104
Mailing Address1200 Sixth Ave NSt Cloud, MN 56303-2735 · (320) 251-2700 · Fax (320) 240-2118
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1996
Enumeration DateOctober 14, 2005
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
NPI 1881683696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MN · 40084
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 40084 (MN)
6401 FRANCE AVE S, Edina, MN 55435

Secondary Practice Location 1

Location 11200 Sixth Ave NSt Cloud, MN 56303-2735 · Phone (320) 251-2700 · Fax (320) 240-2118

Other Identifiers 11

Other6D053CEBlue Cross Blue Shield
Other313K7NEBlue Cross Blue Shield
Other106868U-care
Medicaid400219900MN
OtherP00174824Rr Medicare
Other1033658Araz Group/america's Ppo
Other0407013Medica Health Plans
Other1012483Preferred One
Other400219900Medical Assistance
OtherC11369Rr Medicare
OtherHP20578Health Partners

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

Brian Deane Nelson Md 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 ID4880655232
PECOS Enrollment IDI20041020000366
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
213 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
110 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
68 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

88.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.73
Promoting Interoperability100
Improvement Activities40
Cost60.7

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.

Emergency Medicine
6401 FRANCE AVE S
EDINA, MN 55435
Physical Therapist
6401 FRANCE AVE S, REHAB SERVICES LL3G, FAIRVIEW SOUTHDALE HOSPITAL
EDINA, MN 55435
Nurse Practitioner (Acute Care)
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Hospitalist
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435

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 Brian Nelson's NPI number?

The NPI number for Brian Nelson is 1881683696. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Brian Nelson located?

Brian Nelson practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-5000.

What is Brian Nelson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Brian Nelson enrolled in Medicare?

Yes. Brian 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 Brian Nelson accept?

Health plans from Medica and Sanford Health Plan list Brian 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 Brian Nelson affiliated with any hospitals?

According to CMS data, Brian Nelson is affiliated with M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Brian Nelson was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.