Active NPI
Jeffrey J Nelson, MD
- Otolaryngology Physician
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 12499
- 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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Provo, UT
- NPI 1346489036
Otolaryngology, UT
-
- Ambulance
- Grand Forks, ND
- NPI 1114485315
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
- Clinical Medical Laboratory
- Bismarck, ND
- NPI 1154485944
-
- Rural Health Clinic/Center
- Manti, UT
- NPI 1063038628
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
-
- Prosthetic/Orthotic Supplier
- Grand Forks, ND
- NPI 1033257704
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
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 SystemSanford Medical Center FargoPolinsky Medical Rehabilitation CenterSanford BismarckThe Duluth Clinic LTDGunnison Valley Hospital
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
- Essentia Health Duluth
- Sanford Medical Center Fargo
- Altru Hospital
- Essentia Health St Mary'S Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- 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, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 79716 | MN | MD | Otolaryngology Physician |
| 12499 | ND | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Peak ENT Associates | Otolaryngology | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Altru Health System | Current | 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 | Current | 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
- jeffrey.nelson@1158.chartlogic.direct-ci.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 7643882-1205 | UT | |
| Otolaryngology Physician | 207Y00000X | 79716 | MN | |
| Otolaryngology Physician | 207Y00000X | 12499 | ND | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.