DEBRA KAY NELSON
NPI 1982363776
Nurse Practitioner in Indianapolis, IN

Active since December 09, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
720 ESKENAZI AVE FL 2, INDIANAPOLIS, IN 46202(317) 880-7000(317) 880-0526 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2025, Sep 3, 2024, Jun 6, 2024 and 1 more (4 updates tracked since 2021).

About Debra Kay Nelson NPPES

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

DEBRA KAY NELSON (NPI 1982363776) is an individual nurse practitioner in Indianapolis, Indiana, licensed in Indiana (71011957A) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1982363776
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDEBRA KAY NELSON
Location Address720 ESKENAZI AVE FL 2Indianapolis, IN 46202-5189
Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939
Fax(317) 880-0526
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 9, 2021
Last NPPES UpdateSeptember 25, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1982363776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71011957A
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.
720 ESKENAZI AVE FL 2, Indianapolis, IN 46202

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

Debra Kay Nelson 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 ID941691232
PECOS Enrollment IDI20211221001323
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

2

Medicare enrollment records show Debra Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
720 ESKENAZI AVE
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 564 clinicians in this Medicare group
Psychiatry
7300 E INDIANA ST, SUITE 103
Evansville, IN 47715
  • Reassigned Medicare billing, Indiana enrollment
  • 165 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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.3
Promoting Interoperability100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 18

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

Physician Assistant
720 ESKENAZI AVE FL 2
INDIANAPOLIS, IN 46202
Social Worker (Clinical)
720 ESKENAZI AVE FL 2
INDIANAPOLIS, IN 46202
Dietitian, Registered
720 ESKENAZI AVE FL 2
INDIANAPOLIS, IN 46202
Internal Medicine
720 ESKENAZI AVE FL 2
INDIANAPOLIS, IN 46202
Internal Medicine
720 ESKENAZI AVE FL 2
INDIANAPOLIS, IN 46202
Anesthesiology
720 ESKENAZI AVE FL 2
INDIANAPOLIS, IN 46202
Family Medicine
720 ESKENAZI AVE FL 2
INDIANAPOLIS, IN 46202
Family Medicine
720 ESKENAZI AVE FL 2
INDIANAPOLIS, IN 46202

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 Debra Nelson's NPI number?

The NPI number for Debra Nelson is 1982363776. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Debra Nelson located?

Debra Nelson practices at 720 Eskenazi Ave Fl 2, Indianapolis, IN 46202. The listed phone number is (317) 880-7000.

What is Debra Nelson's specialty?

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

Is Debra Nelson enrolled in Medicare?

Yes. Debra 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 Debra Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Debra Nelson reassigns Medicare benefits to 2 organizations: The Health And Hospital Corporation Of Marion County (Indianapolis, IN) and Midwest Behavioral Health LLC (Evansville, IN). 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 Debra Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Debra Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Debra 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 Debra Nelson was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.