Individual provider Active NPI

Chris Lee Nelson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Erie, PA
National Provider Identifier
1609856160
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC002265L Issued in PA
Practice address
1326 Peninsula Dr
Erie, PA 16505-4235
Phone
(814) 835-3338
Fax
(814) 835-3668
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC002265L PA Primary

Addresses

Primary practice location

1326 Peninsula Dr
Erie, PA 16505-4235

Mailing address

1326 Peninsula Dr
Erie, PA 16505-4235
Phone (814) 835-3338

Other identifiers 1

IdentifierTypeStateIssuer
000863013MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000414 PA Practitioner - Podiatry 2567418734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

1326 Peninsula Dr
Erie, PA 16505-4235
Phone 814835333821

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue87
Removal of skin lesions110
Removal of nail tissue641
Removal or shaving of skin growth511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Ten Podiatry Centre, Inc. Foot & Ankle Surgery CurrentSince Jul 1, 1981 Accepting new patients

Locations

1326 Peninsula Dr
Erie, PA 16505
Phone (814) 835-3338

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1609856160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 PENINSULA DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054235",
            "telephone_number": "814-835-3338",
            "fax_number": "814-835-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 PENINSULA DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054235",
            "telephone_number": "814-835-3338",
            "fax_number": "814-835-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRIS",
        "middle_name": "LEE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002265L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000863013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.