Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EDMOND COLLIN NELSON JR. MD
NPI 1912285446
Hospitalist in Sullivan, MO

Q: What is Edmond Nelson's NPI number?

The NPI number for Edmond Nelson is 1912285446. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Q: What is Edmond Nelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edmond Nelson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.

Active since August 02, 2011PECOS EnrolledAccepts Medicare Assignment

751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080(573) 468-4186(573) 860-6179 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2026, Jun 17, 2024, May 3, 2023 and 2 more (5 updates tracked since 2019).

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About Edmond Collin Nelson Jr. Md NPPES

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

EDMOND COLLIN NELSON JR. MD (NPI 1912285446) is an individual hospitalist provider in Sullivan, Missouri, licensed in Missouri (2017027303) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1912285446

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameEDMOND COLLIN NELSON JR.Credential: MD

Location Address751 SAPPINGTON BRIDGE RDSullivan, MO 63080-2354

Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (314) 996-5772 · Fax (314) 996-7691

Phone(573) 468-4186

Fax(573) 860-6179

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 2, 2011

Last NPPES UpdateJune 30, 20265 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1912285446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in MO · 2017027303✔ Licensed in LA · 321099✔ Licensed in GA · 79603✔ Licensed in AZ · 65734

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 23146 (MS), C0549 (KY), MD.32419 (AL), WV-SE-1846 (WV), 65734 (AZ), 321099 (LA)

751 SAPPINGTON BRIDGE RD, Sullivan, MO 63080

Open in Google Maps ↗

Secondary Practice Locations 5

Location 11514 Jefferson HwyNew Orleans, LA 70121-2429 · Phone (504) 842-7511

Location 23015 N Ballas RdSaint Louis, MO 63131-2329 · Phone (314) 996-5772 · Fax (314) 996-7691

Location 31150 S Green St Ste 1A, North Mississippi Medical CencerTupelo, MS 38804-4902 · Phone (662) 377-5009 · Fax (662) 377-5071

Location 4309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541 · Fax (318) 966-4543

Location 51200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1200 · Fax (304) 598-1699

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Edmond Collin Nelson Jr. 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 ID1951541754

PECOS Enrollment IDI20190613000446, I20191203001072, I20221220001266, I20260313000064, I20260414001739

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.

217 services84 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.

55 services55 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.

54 services53 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.

51 services50 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

St Francis Medical Center

Acute Care Hospitals · Monroe, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190125

Location309 Jackson StreetMonroe, LA 71201 · Ouachita County

Emergency services Birthing friendly

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260001

Location100 Mercy WayJoplin, MO 64804 · Jasper County

Emergency services Birthing friendly

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370018

Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63080 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%55 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers22 claims22 services$20.04 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers26 claims26 services$107.98 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.

MS. KATE JOANNA RANDOLPH PA

Physician Assistant (Medical)

751 SAPPINGTON BRIDGE RD, DEPT RADIOLOGY
SULLIVAN, MO 63080

Franklin County (314) 996-5170

DAVID J WADDELL MD

Hospitalist