Individual provider Active NPI

Joel W Nelson, D.O.

  • Cornea and External Diseases Specialist Physician
  • Saint Cloud, MN
National Provider Identifier
1043650575
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
61983 Issued in MN
Practice address
2055 15TH St N
Saint Cloud, MN 56303-1747
Phone
(320) 251-1432
Fax
(320) 251-7122
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X U03526 FL
Cornea and External Diseases Specialist Physician 207WX0120X 61983 MN Primary

Addresses

Primary practice location

2055 15TH St N
Saint Cloud, MN 56303-1747

Mailing address

2055 15TH St N
Saint Cloud, MN 56303-1747
Phone (320) 251-1432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170714001572 MN Practitioner - Ophthalmology 5991099806 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cloud Eye Clinic PAGroup PAC ID 8325022577, 5 clinicians

Practice addresses (Care Compare)

2055 15TH St N
Saint Cloud, MN 56303-1747
Phone (320) 251-1432

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U03526FLMDOphthalmology Physician
61983MNMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Cloud Eye Clinic PA Ophthalmology CurrentSince Jul 23, 2018 Accepting new patients
Welia Health Current Accepting new patients

Locations

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

2055 15th St N
Saint Cloud, MN 56303
Phone (320) 251-1432

Interoperability endpoints

  • Direct secure messaging: jnelson363440@excellian.direct.allina.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: joel.nelson.p1@direct.stcloudeyeclinic.nextgenshare.com
  • Direct secure messaging: jnelson412255@direct.centracare.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1043650575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 15TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031747",
            "telephone_number": "320-251-1432",
            "fax_number": "320-251-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 15TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031747",
            "telephone_number": "320-251-1432",
            "fax_number": "320-251-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "U03526",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "MN",
            "license": "61983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.