NPIMap

Individual provider Active NPI

Sean Darrell Nelson, MD

  • Family Medicine Physician
  • Sioux City, IA
National Provider Identifier
1477044758
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R-11151 Issued in IA
Practice address
2501 Pierce St
Sioux City, IA 51104-3725
Phone
(712) 294-5000
Fax
(712) 294-5091
NPI assigned
May 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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 R-11151 IA Primary

Addresses

Primary practice location

2501 Pierce St
Sioux City, IA 51104-3725

Mailing address

2501 Pierce St
Sioux City, IA 51104-3725
Phone (712) 294-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20211001000592 IA Practitioner - Family Practice 2466708508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Sioux Valley Memorial Hospital Association 21 clinicians
Sports Rehab and Professional Therapy Associates Inc 124 clinicians

Practice addresses (Care Compare)

225 Main St
Aurelia, IA 51005-7791
Phone (712) 434-2101

300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone (712) 225-6265

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

Hospital & facility affiliations

  • Cherokee Regional Home Health Home health agency, Cherokee, IA, CCN 167192
  • Cherokee Regional Hospice Hospice, Cherokee, IA, CCN 161537
  • Cherokee Regional Medical Center Hospital, Cherokee, IA, CCN 161362
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Accura Healthcare of Cherokee, LLC Nursing home, Cherokee, IA, CCN 165425
  • Careage Hills Rehabilitation and Healthcare Nursing home, Cherokee, IA, CCN 165428
  • Cherokee Regional Medical Center Nursing home, CCN 16Z362

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux Valley Memorial Hospital Association Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Sioux Valley Memorial Hospital Association CurrentSince Jul 1, 2021 Accepting new patients
Sioux Valley Memorial Hospital Association Family Medicine Current Accepting new patients
Sioux Valley Memorial Hospital Association Current Accepting new patients

Locations

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

Interoperability endpoints

  • Direct secure messaging: snelson631963@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sutherland Medical ClinicSutherland, IA, CCN 163489 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Oct 5, 2024
Oct 5, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1477044758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043725",
            "telephone_number": "712-294-5000",
            "fax_number": "712-294-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043725",
            "telephone_number": "712-294-5000",
            "fax_number": "712-294-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SEAN",
        "middle_name": "DARRELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-11151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.