Individual provider Active NPI

Carrie N Nelson, D.P.M.

  • Podiatrist
  • Algonquin, IL
National Provider Identifier
1992705784
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004921 Issued in IL
Practice address
1320 Chase St Ste 1a
Algonquin, IL 60102-9668
Phone
(847) 705-6765
Fax
(630) 359-4600
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016-004921 IL
Podiatrist 213E00000X 016004921 IL Primary

Addresses

Primary practice location

1320 Chase St Ste 1a
Algonquin, IL 60102-9668

Mailing address

PO Box 5670
Villa Park, IL 60181-5670
Phone (847) 705-6765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040209000202 IL Practitioner - Podiatry 1456244847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1 Myrtle Lane
Calhoun Nursing and Rehab Ctr
Hardin, IL 62047-1002
Phone (618) 576-2278

1320 Chase St
Suite 1a
Algonquin, IL 60102-9668
Phone (847) 705-6765

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3113
Removal or shaving of skin growth331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-004921ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Care Consultants Inc Current Accepting new patients
Foot Care Consultants Inc Podiatrist CurrentSince Feb 26, 2003 Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Dec 1, 2019 Accepting new patients

Locations

1320 Chase St
Ste 1A
Algonquin, IL 60102
Phone (847) 668-2262

1 Myrtle
Hardin, IL 62047
Phone (618) 576-2278

1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401

675 N North Ct
Ste 180
Palatine, IL 60067
Phone (847) 705-6765

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1992705784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5670",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601815670",
            "telephone_number": "847-705-6765",
            "fax_number": "630-359-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CHASE ST STE 1A",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029668",
            "telephone_number": "847-705-6765",
            "fax_number": "630-359-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CARRIE",
        "middle_name": "N",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004921",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.