Individual provider Active NPI

Scott W Nelson, D.C.

  • Chiropractor
  • Mason City, IA
National Provider Identifier
1679558001
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06519 Issued in IA
Practice address
423 4TH St SW
Suite a
Mason City, IA 50401-3836
Phone
(641) 424-0992
Fax
(641) 424-0200
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06519 IA Primary

Addresses

Primary practice location

423 4TH St SW
Suite a
Mason City, IA 50401-3836

Mailing address

423 4TH St SW
Suite a
Mason City, IA 50401-3836
Phone (641) 424-0992

Other identifiers 2

IdentifierTypeStateIssuer
47882OtherIABLUE CROSS & BLUE SHIELD
0266940MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319001519 IA Practitioner - Chiropractic 6406747591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mason City Chiropractic IncGroup PAC ID 4082624259, 2 clinicians

Practice addresses (Care Compare)

423 4TH St SW
Suite a
Mason City, IA 50401-3836
Phone (641) 424-0992

Merit-based Incentive Payment System (MIPS)

Final score
25.5 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06519IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mason City Chiropractic, Inc. CurrentSince Jan 1, 2006 Accepting new patients

Locations

1314 4th St SW
Ste 112
Mason City, IA 50401
Phone (641) 424-0992

423 4th St SW
Ste A
Mason City, IA 50401
Phone (641) 424-0992

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1679558001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 4TH ST SW",
            "address_2": "SUITE A",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013836",
            "telephone_number": "641-424-0992",
            "fax_number": "641-424-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 4TH ST SW",
            "address_2": "SUITE A",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013836",
            "telephone_number": "641-424-0992",
            "fax_number": "641-424-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SCOTT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "47882",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266940",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.