DR. DONNA NELSON MD
NPI 1962479907
Family Medicine - Addiction Medicine in La Jara, CO
About Dr. Donna Nelson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DONNA NELSON MD (NPI 1962479907) is an individual addiction medicine provider in La Jara, Colorado, licensed in Colorado (DR.0037378) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alamosa, and is a graduate of University Of New Mexico School Of Medicine (1991).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
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
Dr. Donna Nelson 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 Reassignment
Medicare enrollment records show Donna Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Jara, CO 81140
- Reassigned Medicare billing, Colorado enrollment
- 43 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA JARA, CO 81140
LA JARA, CO 81140
LA JARA, CO 81140
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 Donna Nelson's NPI number?
The NPI number for Donna Nelson is 1962479907. It was assigned to this individual provider in the NPPES registry on March 8, 2006.
Where is Donna Nelson located?
Donna Nelson practices at 322 Walnut Street, La Jara, CO 81140. The listed phone number is (719) 589-3671.
What is Donna Nelson's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Donna Nelson enrolled in Medicare?
Yes. Donna 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 organization bills Medicare for Donna Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Nelson reassigns Medicare benefits to San Luis Valley Community Mental Health Center, Inc. (La Jara, CO). The 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 Donna Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Donna Nelson was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.