Individual provider Active NPI

John B Nelson, M.D.

  • Pulmonary Disease Physician
  • Overland Park, KS
National Provider Identifier
1417040890
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0417628 Issued in KS
Practice address
10550 Quivira Rd
Suite 335
Overland Park, KS 66215-2306
Phone
(913) 599-3800
Fax
(913) 599-3854
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0417628 KS Primary

Addresses

Primary practice location

10550 Quivira Rd
Suite 335
Overland Park, KS 66215-2306

Mailing address

PO Box 12035
Kansas City, KS 66112-0035
Phone (913) 599-3800

Other identifiers 5

IdentifierTypeStateIssuer
201237914MedicaidMO
1417040890MedicaidMO
07794141OtherBCBS KANSAS CITY
058659OtherKSBCBS KANSAS
100190940BMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOHN.NELSON@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050617000865 KS Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4385688563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas Pulmonary and Sleep Specialists, LLCGroup PAC ID 8325223142, 8 clinicians

Practice addresses (Care Compare)

10550 Quivira Rd
Suite 335
Overland Park, KS 66215-2378
Phone (913) 599-3800

Hospital & facility affiliations

  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176

Merit-based Incentive Payment System (MIPS)

Final score
85.54 of 100Reported as individual
Quality
76.05
Improvement activities
40
Cost
77.83

Merit-based Incentive Payment System (MIPS)

Final score
74.07 of 100Reported as group
Quality
45.41
Promoting interoperability
97
Improvement activities
40
Cost
70.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0417628KSMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Pulmonary and Sleep Specialists, LLC CurrentSince Jan 1, 2011 Accepting new patients
Kansas Pulmonary and Sleep Specialists Chartered Pulmonary Disease Past Accepting new patients

Locations

3500 S 4th St
Leavenworth, KS 66048
Phone (913) 469-1411

10550 Quivira Rd
Ste 530
Overland Park, KS 66215
Phone (913) 276-5130

10550 Quivira Rd
Ste 335
Overland Park, KS 66215
Phone (913) 599-3800

10550 Quivira Rd
Ste 510
Overland Park, KS 66215
Phone (913) 492-5456

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 1

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1417040890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12035",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661120035",
            "telephone_number": "913-599-3800",
            "fax_number": "913-599-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD",
            "address_2": "SUITE 335",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152306",
            "telephone_number": "913-599-3800",
            "fax_number": "913-599-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "0417628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201237914",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417040890",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "07794141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS",
            "identifier": "058659",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100190940B",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOHN.NELSON@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10550 Quivira Rd",
            "address_2": "SUITE 335",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662152306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.