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Individual provider Active NPI

Christopher L Nelson, ACNP-BC

  • Acute Care Nurse Practitioner
  • Aberdeen, SD
National Provider Identifier
1720376825
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
CP000643 Issued in SD
Practice address
310 S Penn St
Suite 105
Aberdeen, SD 57401-4553
Phone
(605) 622-8700
Fax
(605) 622-5056
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X CP000643 SD Primary

Addresses

Primary practice location

310 S Penn St
Suite 105
Aberdeen, SD 57401-4553

Mailing address

PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 622-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000894 SD Practitioner - Nurse Practitioner 0446422257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-0158

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5500

310 S Penn St
Aberdeen, SD 57401-4553

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jan 1, 2020 Accepting new patients
Avera St. Lukes CurrentSince Dec 1, 2012 Accepting new patients
Avera McKennan CurrentSince Jan 1, 2020 Accepting new patients
Avera St. Luke'S Current Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Past Accepting new patients
Avera St Lukes Past Accepting new patients

Locations

310 S Pennsylvania St
Ste 106
Aberdeen, SD 57401
Phone (605) 622-5613

620 3rd Ave SE
Aberdeen, SD 57401
Phone (605) 622-2550

310 S Pennsylvania St
Ste 105
Aberdeen, SD 57401
Phone (605) 622-5500

305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

Organizations & group practices 7

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1720376825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-622-8700",
            "fax_number": "605-622-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PENN ST",
            "address_2": "SUITE 105",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014553",
            "telephone_number": "605-622-8700",
            "fax_number": "605-622-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SD",
            "license": "CP000643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.