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JAMIE NELSON PA-C
NPI 1922473313
Physician Assistant in Durango, CO

Active since December 10, 2015PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
1 MERCADO ST, SUITE 200, DURANGO, CO 81301(970) 382-9500(970) 375-0007 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2023, Jan 27, 2023, May 20, 2016 and 1 more (4 updates tracked since 2015).

About Jamie Nelson Pa-c NPPES

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

JAMIE NELSON PA-C (NPI 1922473313) is an individual physician assistant in Durango, Colorado, licensed in Colorado (PA 0004489) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922473313
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJAMIE NELSONCredential: PA-C
Location Address1 MERCADO ST, SUITE 200Durango, CO 81301-7306
Mailing Address1 Mercado St, Suite 200Durango, CO 81301-7306 · (970) 382-9500 · Fax (970) 375-0007
Phone(970) 382-9500
Fax(970) 375-0007
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 10, 2015
Last NPPES UpdateSeptember 8, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1922473313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · PA 0004489
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA.0004489 (CO)
1 MERCADO ST, Durango, CO 81301
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Secondary Practice Locations 2

Location 1314 S 6th StMontrose, CO 81401-5719 · Phone (970) 382-9500
Location 21 Mercado St Ste 202Durango, CO 81301-7307 · Phone (970) 764-9400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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

Jamie Nelson Pa-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 ID941502736
PECOS Enrollment IDI20160111002647
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 11

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.

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.
110 services16 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.
106 services58 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
72 services13 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
37 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
27 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%697 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
85%629 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
90%575 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
87%866 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%866 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
15%866 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
54%866 patients
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.

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.

ARIA THERAPEUTICS & WELLNESS, LLC
Clinic/Center (Medical Specialty)
1 MERCADO ST, SUITE 150
DURANGO, CO 81301
La Plata County (970) 375-2273
PETER E JAMIESON PA
Physician Assistant
1 MERCADO ST, SUITE 202
DURANGO, CO 81301
La Plata County (970) 247-5362
JENNIFER BERRIDGE LMT, NCMT
Massage Therapist
1 MERCADO ST, SUITE 150
DURANGO, CO 81301
La Plata County (970) 375-2273
REBECCA MAULDIN RMT
Massage Therapist
1 MERCADO ST, STE 150
DURANGO, CO 81301
La Plata County (970) 375-2273
JAMES A SANTOS M.D.
Physical Medicine & Rehabilitation
1 MERCADO ST, STE 200
DURANGO, CO 81301
La Plata County (970) 382-9500
TOTAL HEALTHCARE
Family Medicine
1 MERCADO ST, SUITE 160
DURANGO, CO 81301
La Plata County (970) 385-9850
SPINE COLORADO PC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1 MERCADO ST, STE 200
DURANGO, CO 81301
La Plata County (970) 382-9500
PROSTHETIC DEVELOPMENT AND RESEARCH, INC.
Prosthetic/Orthotic Supplier
1 MERCADO ST, STE. 203
DURANGO, CO 81301
La Plata County (970) 259-9258

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 Jamie Nelson's NPI number?

The NPI number for Jamie Nelson is 1922473313. It was assigned to this individual provider in the NPPES registry on December 10, 2015.

Where is Jamie Nelson located?

Jamie Nelson practices at 1 Mercado St Suite 200, Durango, CO 81301. The listed phone number is (970) 382-9500.

What is Jamie Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jamie Nelson enrolled in Medicare?

Yes. Jamie 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 Jamie Nelson accept?

Health plans from University of Utah Health Plans list Jamie 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.

When was this NPI record last updated?

The NPPES record for Jamie Nelson was last updated on September 8, 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.