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ELAINE ELINOR NELSON M.D
NPI 1962457176
Emergency Medicine in San Jose, CA

Active since May 24, 2006PECOS Enrolled
94.62/100
CMS Quality Rating
225 N JACKSON AVE, SAN JOSE, CA 95116(408) 923-7121 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elaine Elinor Nelson M.d NPPES

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

ELAINE ELINOR NELSON M.D (NPI 1962457176) is an individual emergency medicine provider in San Jose, California, licensed in California (G77615) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962457176
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameELAINE ELINOR NELSONCredential: M.D
Location Address225 N JACKSON AVESan Jose, CA 95116-1603
Mailing Address2100 Powell St, Ste 920Emeryville, CA 94608-1826 · (510) 350-2600 · Fax (510) 879-9100
Phone(408) 923-7121
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 21, 2008
✔ NPI 1962457176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · G77615
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
225 N JACKSON AVE, San Jose, CA 95116
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Other Identifiers 3

Medicaid00G776150CA
Medicare PIN00G776152CA
Medicare UPING14389CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elaine Elinor Nelson M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
179 services171 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
134 services123 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
61 services61 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

DR. JOHN J REDINSKI DO
Internal Medicine (Critical Care Medicine)
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-4051
DR. KOMAL J BHATT MD
Internal Medicine
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 259-5000
CHRISTINE LOUIE MD
Pathology (Anatomic Pathology & Clinical Pathology)
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 259-5000
GERALD A WEISS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 866-4060
SHALIN HIRA PATEL M.D
Emergency Medicine
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 923-7121
DR. LINDA LIEN TRAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
225 N JACKSON AVE, PHARMACY DEPARTMENT
SAN JOSE, CA 95116
Santa Clara County (408) 259-5000
PETER TZEE TSENG SUN MD
Anesthesiology
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 259-5000
QING WANG MD
Anesthesiology
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 259-5000

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 Elaine Nelson's NPI number?

The NPI number for Elaine Nelson is 1962457176. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Elaine Nelson located?

Elaine Nelson practices at 225 N Jackson Ave, San Jose, CA 95116. The listed phone number is (408) 923-7121.

What is Elaine Nelson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Elaine Nelson enrolled in Medicare?

Yes. Elaine Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elaine Nelson was last updated on July 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.