Individual provider Active NPI

Patrick John Nelson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Omaha, NE
National Provider Identifier
1902193618
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
333 Issued in NE
Practice address
9006 Ohio St Ste 1
Omaha, NE 68134-6139
Phone
(402) 391-7575
Fax
(402) 391-1508
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 333 NE Primary

Addresses

Primary practice location

9006 Ohio St Ste 1
Omaha, NE 68134-6139

Mailing address

9006 Ohio St Ste 1
Omaha, NE 68134-6139
Phone (402) 391-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120719000134 NE Practitioner - Podiatry 9537325543 Reassigns benefits to 1 organization
I20160527001176 IA Practitioner - Podiatry 9537325543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1226 N Washington St
103 Foot and Ankle Center of Nebraska
Papillion, NE 68046-3064
Phone (402) 391-7575

411 E Broadway
Council Bluffs, IA 51503-4417
Phone (402) 391-7575

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-6060

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

9006 Ohio St
Omaha, NE 68134-6139
Phone (402) 391-7575

Merit-based Incentive Payment System (MIPS)

Final score
20.88 of 100Reported as individual
Quality
35
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue67
Removal of skin lesions1-10
Removal of nail tissue785
Removal or shaving of skin growth293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
333NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Center of Nebraska, P.C. Foot & Ankle Surgery CurrentSince Apr 25, 2016 Accepting new patients
Clarinda Regional Health Center CurrentSince Sep 1, 2017 Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

411 E Broadway
Council Bluffs, IA 51503
Phone (402) 391-7575

9006 Ohio St
Ste 1
Omaha, NE 68134
Phone (402) 391-7575

1226 N Washington St
Papillion, NE 68046
Phone (402) 391-7575

1226 N Washington St
Ste 103
Papillion, NE 68046
Phone (402) 391-7575

Interoperability endpoints

  • Direct secure messaging: patrick.nelson.1@19856.direct.athenahealth.com
  • Direct secure messaging: pnelson@usfas.emadirect.md
  • Direct secure messaging: patrick.nelson@1510.chartlogic.direct-ci.com

Organizations & group practices 3

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1902193618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 OHIO ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346139",
            "telephone_number": "402-391-7575",
            "fax_number": "402-391-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 OHIO ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346139",
            "telephone_number": "402-391-7575",
            "fax_number": "402-391-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.