NPIMap

Individual provider Active NPI

Carol B Nelson, MD

  • Neurology Physician
  • Mitchell, SD
National Provider Identifier
1003823410
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
3998 Issued in SD
Practice address
1415 N Sanborn Blvd
Mitchell, SD 57301-1015
Phone
(605) 990-2178
Fax
(605) 990-2179
NPI assigned
Aug 1, 2006
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 3998 SD Primary

Addresses

Primary practice location

1415 N Sanborn Blvd
Mitchell, SD 57301-1015

Mailing address

1415 N Sanborn Blvd
Mitchell, SD 57301-1015
Phone (605) 941-6363

Other practice location 1

103 W Pioneer Ave
Viborg, SD 57070
Phone (605) 326-5201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000940 SD Practitioner - Neurology 4183782527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Sanford School of Medicine of University of South Dakota, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1415 N Sanborn Blvd
Mitchell, SD 57301-1015
Phone (605) 990-2178

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3998SDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jun 13, 2016 Accepting new patients
Avera McKennan CurrentSince Jun 13, 2016 Accepting new patients
Avera McKennan Current Accepting new patients
Nelson Neurology, P.C. Neurology CurrentSince Jun 1, 2022 Accepting new patients

Locations

1415 N Sanborn Blvd
Mitchell, SD 57301
Phone (605) 996-2020

1301 S Cliff Ave
Ste 506
Sioux Falls, SD 57105
Phone (605) 335-0844

1301 S Cliff Ave
Ste 610
Sioux Falls, SD 57105
Phone (605) 322-8860

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1003823410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N SANBORN BLVD",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011015",
            "telephone_number": "605-941-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N SANBORN BLVD",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011015",
            "telephone_number": "605-990-2178",
            "fax_number": "605-990-2179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 W Pioneer Ave",
            "address_purpose": "LOCATION",
            "city": "Viborg",
            "state": "SD",
            "postal_code": "57070",
            "country_code": "US",
            "telephone_number": "605-326-5201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CAROL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-07-09",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SD",
            "license": "3998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.