Individual provider Active NPI

Christopher R Nelson, CNP

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1225035215
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP0346 Issued in SD
Practice address
1210 W 18TH St
Ste G-01
Sioux Falls, SD 57104-4647
Phone
(605) 328-2663
Fax
(605) 328-3701
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP0346 SD Primary

Addresses

Primary practice location

1210 W 18TH St
Ste G-01
Sioux Falls, SD 57104-4647

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-2663

Other identifiers 1

IdentifierTypeStateIssuer
6824120MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040504001179 MN Practitioner - Nurse Practitioner 9436147824 Reassigns benefits to 1 organization
I20051104000656 SD Practitioner - Nurse Practitioner 9436147824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1210 W 18TH St
Suite G01
Sioux Falls, SD 57104-4651
Phone (605) 328-2663

Hospital & facility affiliations

  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0346SDMDPhysician Assistant
CNP0346SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince May 15, 2002 Accepting new patients
Sanford Clinic Nurse Practitioner Current Accepting new patients
Sanford Medical Center Nurse Practitioner CurrentSince Feb 1, 2012 Accepting new patients
Sanford Clinic Nurse Practitioner Current Accepting new patients
Sanford Clinic CurrentSince May 15, 2002 Accepting new patients
Sanford Clinic CurrentSince Feb 19, 2011 Accepting new patients
Sanford Clinic Nurse Practitioner Past Accepting new patients

Locations

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

1210 W 18th St
Ste G01
Sioux Falls, SD 57104
Phone (605) 328-1395

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

Organizations & group practices 7

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 3

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1225035215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-2663",
            "fax_number": "605-328-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 18TH ST",
            "address_2": "STE G-01",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044647",
            "telephone_number": "605-328-2663",
            "fax_number": "605-328-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CNP0346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6824120",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.