NPIMap

Individual provider Active NPI

Sydnee Nelson, MD

  • Family Medicine Physician
  • Council Grove, KS
National Provider Identifier
1356802003
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-46402 Issued in KS
Practice address
600 N Washington St
Council Grove, KS 66846-1499
Phone
(620) 767-6811
NPI assigned
Mar 26, 2019
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-46402 KS Primary

Addresses

Primary practice location

600 N Washington St
Council Grove, KS 66846-1499

Mailing address

600 N Washington St
Council Grove, KS 66846-1499
Phone (620) 767-6811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20220907002544 KS Practitioner - Family Practice 8820323280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris County HospitalGroup PAC ID 8426096504, shared by 7 NPIs, 13 clinicians

Practice addresses (Care Compare)

604 N Washington St
Council Grove, KS 66846-1422
Phone (620) 767-5126

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-46402KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris County Hospital Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Morris County Hospital Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Morris County Hospital Current Accepting new patients
Morris County Hospital Past Accepting new patients
Diversicare of Council Grove LLC Past Accepting new patients

Locations

411 S Walnut St
Cottonwood Falls, KS 66845
Phone (620) 273-6131

600 N Washington St
Council Grove, KS 66846
Phone (620) 767-5126

604 N Washington St
Council Grove, KS 66846
Phone (620) 767-5126

Organizations & group practices 5

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 9

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1356802003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N WASHINGTON ST",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668461499",
            "telephone_number": "620-767-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WASHINGTON ST",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668461499",
            "telephone_number": "620-767-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SYDNEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-46402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Grove, KS

Sources for this page

Verify at the official NPI Registry.