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DAVID ENOCH NELSON SR. NP-C
NPI 1922302140
Nurse Practitioner in Gary, IN

Active since January 03, 2011PECOS EnrolledAccepts Medicare Assignment
4900 BROADWAY, GARY, IN 46408(219) 237-5170(219) 321-1931 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2026, Aug 11, 2022, Aug 30, 2016 (3 updates tracked since 2016).

About David Enoch Nelson Sr. Np-c NPPES

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

DAVID ENOCH NELSON SR. NP-C (NPI 1922302140) is an individual nurse practitioner in Gary, Indiana, licensed in Indiana (71003530A) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1922302140
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDAVID ENOCH NELSON SR.Credential: NP-C
Location Address4900 BROADWAYGary, IN 46408-4605
Mailing Address213 N Racine Ave Ste 100Chicago, IL 60607-1644 · (312) 733-9730 · Fax (773) 866-8014
Phone(219) 237-5170
Fax(219) 321-1931
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 3, 2011
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1922302140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in IN · 71003530A✔ Licensed in TN · 31372✔ Licensed in VA · 0024183960✔ Licensed in FL · APRN11046807✔ Licensed in OR · 202214458NP-PP✔ Licensed in IA · A167956✔ Licensed in TX · 1235449✔ Licensed in CO · C-APN.0003892-C-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4900 BROADWAY, Gary, IN 46408
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11125 17th St Ste 1000Denver, CO 80202-2043 · Phone (720) 204-5760
Location 28888 Keystone Xing Ste Ofc1382Indianapolis, IN 46240-4609 · Phone (901) 625-5408
Location 340 Burton Hills Blvd Ste 200Nashville, TN 37215-5902 · Phone (901) 557-8781
Location 42311 Wilson Blvd Fl 3Arlington, VA 22201-5436 · Phone (804) 571-2336
Location 5699 Walnut StDes Moines, IA 50309-3929 · Phone (505) 236-4671 · Fax (888) 597-2151

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

David Enoch Nelson Sr. Np-c 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 ID3577743152
PECOS Enrollment IDI20260618004490
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.

Medicare Billing Reassignments

7

Medicare enrollment records show David Nelson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa PC
54 mi
Family Medicine
5838 W BRICK RD STE 106
South Bend, IN 46628
  • Reassigned Medicare billing, Indiana enrollment
  • 110 clinicians in this Medicare group
NPI 1720605884 (574) 247-1911
Signify Health Medical Associates, PLLC
791 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Maryland enrollment
  • 227 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
North Carolina Kidney Care, PC
935 mi
Nephrology
1125 17TH ST STE 1000
Denver, CO 80202
  • Reassigned Medicare billing, Tennessee enrollment
  • 12 clinicians in this Medicare group
NPI 1164028940 (855) 962-4638
Strive Health Central, LLC
935 mi
Nephrology
1125 17TH ST STE 1000
Denver, CO 80202
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group
NPI 1295443703 (855) 962-4638
Strive Health Ky 2, LLC
935 mi
Nephrology
1125 17TH ST STE 1000
Denver, CO 80202
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group
NPI 1881218683 (980) 443-4852
Strive Health Southeast, LLC
935 mi
Nephrology
1125 17TH ST STE 1000
Denver, CO 80202
  • Reassigned Medicare billing, District of Columbia enrollment
  • 29 clinicians in this Medicare group
NPI 1811506975 (855) 962-4638
Strive Health Vbe Of Indiana LLC
935 mi
Nephrology
1125 17TH ST STE 1000
Denver, CO 80202
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group
NPI 1023742392 (855) 962-4638

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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
93 services43 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
38 services27 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.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46408 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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

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

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
2 suppliers11 claims11 services$185.29 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 11

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

MELISSA RODRIGUEZ LCSW
Social Worker
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170
MICHELLE WATHIER NP
Nurse Practitioner (Family)
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170
MR. DARNELL RATHER FNP
Nurse Practitioner (Family)
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170
ADELLA BLONDET
Nurse Practitioner (Family)
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170
DR. KEVIN SCOTT BODKIN D.O.
Family Medicine
4900 BROADWAY
GARY, IN 46408
Lake County (419) 696-6000
MRS. TONYA A. HARVEY NP
Nurse Practitioner (Family)
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170
SIMRAN K. ARORA MD
Family Medicine
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170
SHARELLE NICOLE BISHOP
Nurse Practitioner (Family)
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170

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 David Nelson's NPI number?

The NPI number for David Nelson is 1922302140. It was assigned to this individual provider in the NPPES registry on January 3, 2011.

Where is David Nelson located?

David Nelson practices at 4900 Broadway, Gary, IN 46408. The listed phone number is (219) 237-5170.

What is David Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is David Nelson enrolled in Medicare?

Yes. David 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 David Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Nelson reassigns Medicare benefits to 7 organizations: Vpa PC (South Bend, IN), Signify Health Medical Associates, PLLC (Dallas, TX), North Carolina Kidney Care, PC (Denver, CO), Strive Health Central, LLC (Denver, CO), Strive Health Ky 2, LLC (Denver, CO) and 2 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 David Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and BridgeSpan Health Company and 1 other insurer list David 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 David Nelson affiliated with any hospitals?

According to CMS data, David Nelson is affiliated with Methodist Hospitals Inc.

When was this NPI record last updated?

The NPPES record for David Nelson was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.