NPIMap

Individual provider Active NPI

Christopher Donn Nelson, DO

  • Pulmonary Disease Physician
  • Evansville, IN
National Provider Identifier
1417112483
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
02003622A Issued in IN
Practice address
901 Saint Marys Dr Ste 200
Evansville, IN 47714
Phone
(812) 485-6030
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02003622A IN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 02003622A IN
Pulmonary Disease Physician 207RP1001X 02003622A IN Primary

Addresses

Primary practice location

901 Saint Marys Dr Ste 200
Evansville, IN 47714

Mailing address

901 Saint Marys Dr Ste 200
Evansville, IN 47714-0509

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christopher.nelson.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190626003057 IN Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3870880297 Reassigns benefits to 1 organization
I20191226000393 KY Practitioner - Pulmonary Disease 3870880297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

2000 N Elm St
Suite 2
Henderson, KY 42420-2385
Phone (270) 831-6651

901 Saint Marys Dr
Suite 200
Evansville, IN 47714-0509
Phone (812) 485-6030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003622AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC CurrentSince Jul 28, 2019 Accepting new patients
St Mary's Medical Group, LLC Internal Medicine CurrentSince Jul 28, 2019 Accepting new patients
St Mary's Medical Group, Inc Past Accepting new patients
St. Mary's Health, Inc Internal Medicine Past Accepting new patients

Locations

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

901 Saint Marys Dr
Ste 200
Evansville, IN 47714
Phone (812) 485-6030

14020 Old State Rd
Ste C500
Evansville, IN 47725
Phone (812) 485-6030

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

516 Court St
#A
Evansville, IN 47708
Phone (812) 485-2100

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

151 N Gardenmile Rd
Henderson, KY 42420
Phone (270) 830-9186

2000 N Elm St
#2
Henderson, KY 42420
Phone (270) 831-6651

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1417112483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR STE 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR STE 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47714",
            "telephone_number": "812-485-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "DONN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02003622A",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "02003622A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "02003622A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.nelson.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "901 Saint Marys Dr Ste 200",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.