Individual provider Active NPI

Mee Lee Chun Nelson, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Burnsville, MN
National Provider Identifier
1972510220
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
43287 Issued in MN
Practice address
501 E Nicollet Blvd
Sye 200
Burnsville, MN 55337-6732
Phone
(952) 898-5900
NPI assigned
Aug 1, 2006
Last updated
Mar 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 43287 MN Primary

Addresses

Primary practice location

501 E Nicollet Blvd
Sye 200
Burnsville, MN 55337-6732

Mailing address

3955 Parklawn Avenue Suite 120
Southdale Pediatric Associates LTD.
Edina, MN 55435-5660
Phone (952) 831-4454

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060810000574 MN Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 3173526233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Iowa, RJ & L Carver College of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Southdale Pediatric Associates LTDGroup PAC ID 4981597077, 2 clinicians

Practice addresses (Care Compare)

3955 Parklawn Ave
Suite 120
Edina, MN 55435-5660
Phone (952) 278-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southdale Pediatric Associates, LTD CurrentSince Nov 15, 2006 Accepting new patients

Locations

501 E Nicollet Blvd
Ste 200
Burnsville, MN 55337
Phone (952) 278-7000

3955 Parklawn Ave
Ste 120
Minneapolis, MN 55435
Phone (952) 278-7000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1846cf9e-8006-4277-b72f-3cbbe8a8f5ca/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1972510220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PARKLAWN AVENUE SUITE 120",
            "address_2": "SOUTHDALE PEDIATRIC ASSOCIATES LTD.",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355660",
            "telephone_number": "952-831-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E NICOLLET BLVD",
            "address_2": "SYE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376732",
            "telephone_number": "952-898-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MEE LEE",
        "middle_name": "CHUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MN",
            "license": "43287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.