NPIMap

Individual provider Active NPI

Marcia K Nelsen, M.D.

  • Orthopaedic Surgery Physician
  • Viborg, SD
National Provider Identifier
1629188289
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
36452 Issued in IA
Practice address
45125 291St St
Viborg, SD 57070-5300
Phone
(605) 760-3972
Fax
(605) 326-5706
NPI assigned
Aug 30, 2006
Last updated
Jul 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 36452 IA Primary

Addresses

Primary practice location

45125 291St St
Viborg, SD 57070-5300

Mailing address

45125 291St St
Viborg, SD 57070-5300
Phone (605) 760-3972

Other identifiers 1

IdentifierTypeStateIssuer
1939991MedicaidIA

Other names 1

  • Marcia K Beckman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1462SDMDCase Manager/Care Coordinator
36452IAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mason City Clinic PC Orthopaedic Surgery Past Accepting new patients
Bowling Green Inn of South Dakota, Inc. Past Accepting new patients
North Platte Nebraska Physician Group LLC Orthopaedic Surgery Past Accepting new patients
Mitchell Diagnostic Past Accepting new patients
Siouxland Oral Surgery Past Accepting new patients
University Orthopaedic Associates, Inc. Orthopaedic Surgery Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1629188289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45125 291ST ST",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570705300",
            "telephone_number": "605-760-3972",
            "fax_number": "605-326-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45125 291ST ST",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570705300",
            "telephone_number": "605-760-3972",
            "fax_number": "605-326-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "MARCIA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "36452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1939991",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "BECKMAN",
            "middle_name": "K",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Viborg, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.