EDMOND COLLIN NELSON JR. MD
NPI 1912285446
Hospitalist in Sullivan, MO
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 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
36Medicare enrollment records show Edmond Nelson reassigns Medicare billing to 36 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sullivan, MO 63080
- Reassigned Medicare billing, Missouri enrollment
- 76 clinicians in this Medicare group
Washington, MO 63090
- Reassigned Medicare billing, Missouri enrollment
- 261 clinicians in this Medicare group
Festus, MO 63028
- Reassigned Medicare billing, Missouri enrollment
- 299 clinicians in this Medicare group
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 255 clinicians in this Medicare group
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 741 clinicians in this Medicare group
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
- 340 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 611 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 435 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 326 clinicians in this Medicare group
Carthage, MO 64836
- Reassigned Medicare billing, Missouri enrollment
- 562 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, KYSt Francis Medical Center
Acute Care Hospitals · Monroe, LAMercy Hospital Joplin
Acute Care Hospitals · Joplin, MOAscension St John Jane Phillips
Acute Care Hospitals · Bartlesville, OKPhysician 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.
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
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.
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.
SULLIVAN, MO 63080
SULLIVAN, MO 63080
SULLIVAN, MO 63080
SULLIVAN, MO 63080
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 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.
Where is Edmond Nelson located?
Edmond Nelson practices at 751 Sappington Bridge Rd, Sullivan, MO 63080. The listed phone number is (573) 468-4186.
What is Edmond Nelson's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Edmond Nelson enrolled in Medicare?
Yes. Edmond 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.
Which organizations bill Medicare for Edmond Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edmond Nelson reassigns Medicare benefits to 36 organizations: Missouri Baptist Hospital Of Sullivan (Sullivan, MO), Mercy Clinic Adult Hospitalists - Washington, LLC (Washington, MO), Mercy Clinic Adult Hospitalists- Jefferson, LLC (Festus, MO), Cogent Healthcare Of Missouri, Inc (Fenton, MO), Ssm Health Care St Louis (Fenton, MO) and 31 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edmond Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edmond Nelson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, CHRISTUS Health Plan, CareSource and Cigna Healthcare and 4 other insurers list Edmond 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 Edmond Nelson affiliated with any hospitals?
According to CMS data, Edmond Nelson is affiliated with King's Daughters' Medical Center, St Francis Medical Center, Mercy Hospital Joplin and Ascension St John Jane Phillips.
When was this NPI record last updated?
The NPPES record for Edmond Nelson was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Edmond Collin Nelson Jr., MD · NPI 1912285446
Hospitalist physician in Sullivan, Missouri. Individual provider, active in the CMS NPPES registry since August 2, 2011.
## Identity
- **NPI:** 1912285446 (Entity type: Individual)
- **Enumerated:** August 2, 2011
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 2017027303 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 751 SAPPINGTON BRIDGE RD, Sullivan, MO 63080-2354
- **Phone:** (573) 468-4186 · **Fax:** (573) 860-6179
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 36 organizations under Medicare reassignment (form CMS-855R): Missouri Baptist Hospital Of Sullivan (NPI 1235228222, Sullivan, MO); Mercy Clinic Adult Hospitalists - Washington, LLC (NPI 1891943429, Washington, MO); Mercy Clinic Adult Hospitalists- Jefferson, LLC (NPI 1083052492, Festus, MO); Cogent Healthcare Of Missouri, Inc (NPI 1780961599, Fenton, MO); Ssm Health Care St Louis (NPI 1275586174, Fenton, MO); and 31 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** October 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912285446) · Data from the CMS NPPES public registry.