Individual provider Active NPI

Jeffrey J Nelson, MD

  • Otolaryngology Physician
  • Bismarck, ND
National Provider Identifier
1649433608
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
12499 Issued in ND
Practice address
701 E Rosser Ave
Bismarck, ND 58501-4457
Phone
(701) 323-8922
Fax
(701) 323-8018
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 80

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 80

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Toledo College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altru Health System 675 clinicians
Sanford Medical Center Fargo 1,210 clinicians
Polinsky Medical Rehabilitation Center 369 clinicians
Sanford Bismarck 562 clinicians
The Duluth Clinic LTD 1,135 clinicians
Gunnison Valley Hospital 15 clinicians

Practice addresses (Care Compare)

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

1600 Miller Trunk Hwy
Duluth, MN 55811-5640
Phone (218) 786-5360

225 N 7TH St
Bismarck, ND 58501-4417
Phone (701) 323-8922

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

4440 S Washington St
Grand Forks, ND 58201-7245
Phone (701) 780-5000

65 E 100
Gunnison, UT 84634-7709
Phone (435) 528-2222

801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000

Hospital & facility affiliations

  • Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015
  • Essentia Health Duluth Hospital, Duluth, MN, CCN 240019
  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011
  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019
  • Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as group
Quality
89.39
Promoting interoperability
100
Improvement activities
40
Cost
76.04

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ND, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100831000313 UT Practitioner - Otolaryngology 8527182385 Reassigns benefits to 2 organizations
I20121207000178 ND Practitioner - Otolaryngology 8527182385 Reassigns benefits to 3 organizations
I20250509001471 MN Practitioner - Otolaryngology 8527182385 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79716MNMDOtolaryngology Physician
12499NDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Apr 25, 2025 Accepting new patients
Altru Health System CurrentSince May 5, 2025 Accepting new patients
Gunnison Valley Hospital Current Accepting new patients
Gunnison Valley Hospital CurrentSince Apr 1, 2025 Accepting new patients
The Duluth Clinic, LTD. CurrentSince May 19, 2025 Accepting new patients
Gunnison Valley Hospital CurrentSince Apr 1, 2025 Accepting new patients
The Duluth Clinic LTD CurrentSince May 19, 2025 Accepting new patients
Peak ENT Associates Otolaryngology CurrentSince Sep 15, 2024 Accepting new patients
Sanford Medical Center Fargo CurrentSince Apr 25, 2025 Accepting new patients
Altru Health System CurrentSince May 5, 2025 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Sanford Bismarck Current Accepting new patients
Medcenter One Health Systems DME Current Accepting new patients
Altru Health System Current Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Sanford Bismarck CurrentSince Oct 2, 2012 Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

715 E Broadway Ave
Ste 110
Bismarck, ND 58501
Phone (701) 323-8921

225 N 7th St
Bismarck, ND 58501
Phone (701) 224-9471

701 E Rosser Ave
Bismarck, ND 58501
Phone (701) 751-6755

4440 S Washington St
Fl 1
Grand Forks, ND 58201

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

3668 W 2150 N
Ste 300
Lehi, UT 84048

3000 N Triumph Blvd
Ste 260
Lehi, UT 84043
Phone (385) 287-6070

46 N Main St
Manti, UT 84642
Phone (435) 835-6000

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

692 E Market Place Dr
Ste 201
Spanish Fork, UT 84660
Phone (385) 448-0446

Interoperability endpoints

  • Direct secure messaging: jeffrey.nelson@1158.chartlogic.direct-ci.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 7643882-1205 UT
Otolaryngology Physician 207Y00000X 79716 MN
Otolaryngology Physician 207Y00000X 12499 ND Primary

Addresses

NPPES NPI Registry

Primary practice location

701 E Rosser Ave
Bismarck, ND 58501-4457

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419

Other practice location 1

400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2025.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1649433608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014457",
            "telephone_number": "701-323-8922",
            "fax_number": "701-323-8018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "7643882-1205",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "79716",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ND",
            "license": "12499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.