Individual provider Active NPI

Ross Nelson, DPM

  • Foot Surgery Podiatrist
  • Saint Paul, MN
National Provider Identifier
1740285220
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
468 Issued in MN
Practice address
2599 White Bear Ave N
Saint Paul, MN 55109-5171
Phone
(651) 770-3891
Fax
(651) 748-3117
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 468 MN
Foot Surgery Podiatrist 213ES0131X 468 MN Primary

Addresses

Primary practice location

2599 White Bear Ave N
Saint Paul, MN 55109-5171

Mailing address

2520 White Bear Ave N
Suite a
Maplewood, MN 55109-5136
Phone (651) 770-3891

Other identifiers 1

IdentifierTypeStateIssuer
294325500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000632 MN Practitioner - Podiatry 2365337060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Bear Foot and Ankle Clinic IncGroup PAC ID 0941423396, 6 clinicians

Practice addresses (Care Compare)

4520 Centerville Rd
Suite 2
White Bear Lake, MN 55127-3602
Phone (651) 426-3995

Merit-based Incentive Payment System (MIPS)

Final score
54.37 of 100Reported as group
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue65
Removal of skin lesions1-10
Removal of nail tissue574
Removal or shaving of skin growth221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
468MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
White Bear Foot and Ankle Clinic Inc Podiatrist CurrentSince Aug 29, 2018 Accepting new patients
Allina Health System Past Accepting new patients

Locations

2520 White Bear Ave N
Ste A
Saint Paul, MN 55109
Phone (651) 770-3891

4520 Centerville Rd
White Bear Lk, MN 55127
Phone (651) 426-1141

4520 Centerville Rd
Ste 2
White Bear Lk, MN 55127
Phone (651) 426-3995

Organizations & group practices 2

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1740285220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WHITE BEAR AVE N",
            "address_2": "SUITE A",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095136",
            "telephone_number": "651-770-3891",
            "fax_number": "651-748-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2599 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551095171",
            "telephone_number": "651-770-3891",
            "fax_number": "651-748-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "468",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MN",
            "license": "468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294325500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.