SARA ELLEN NELSON (DO) – Surgery Physician, NPI 1053874396

SARA ELLEN NELSON (DO) is a healthcare provider. based in Birmingham, Alabama. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 2686 (AL). The NPI Number for SARA ELLEN NELSON (DO) is 1053874396

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
SARA ELLEN NELSON (DO)
NPI
1053874396
Phone
(205) 783-3098
Address
833 PRINCETON AVE SW
Enumeration Date
12 April 2019
Last Update Date
19 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347478800
Graduation Year
2019 (7 years ago)
PAC ID
7012426471
Group Practice PAC ID
8426076670
Professional Enrollment ID
I20250605001682
Address ID
AL361162014MO2055XBLVD403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

523 GENERAL SURGERY in AL

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Provider Addresses for SARA ELLEN NELSON (DO)

  • 833, Princeton Avenue Southwest, Elyton, Birmingham, Jefferson County, Alabama, 35211, United States

    BIRMINGHAM, AL 352111323

    Phone: (205) 783-3098

    Type: Mailing

  • 2055 E South Blvd Ste 601

    Montgomery, AL 361162014

    Phone: (334) 747-2999

    Type: Location

  • 301 BROWN SPRINGS RD

    MONTGOMERY, AL 361177005

    Phone:

    Type: Mailing

  • 645 MCQUEEN SMITH RD N STE 300

    PRATTVILLE, AL 360667269

    Phone: (334) 747-2999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,957.

Total Amount is formed as General ($1,957) + Research ($0) + Ownership ($0) = $1,957.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Becton, Dickinson and Company ($1,393).

Total Amount

$1,957

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,957

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250605001682IGeneral SurgeryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426076670View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Nurse PractitionerAL
Surgical Oncology, General SurgeryPA
Hospice/Palliative CareAL
Addiction Medicine, Family PracticeAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for SARA ELLEN NELSON (DO)?
SARA ELLEN NELSON (DO) — NPI 1053874396 — is the standard way to identify this listing.
Does CMS list SARA ELLEN NELSON (DO) as active?
Yes — SARA ELLEN NELSON (DO) is active in the NPI listing used on this page.
What is SARA ELLEN NELSON (DO)'s primary classification?
Surgery Physician is the headline specialty for SARA ELLEN NELSON (DO) here. Clinical services aligned with this taxonomy classification.
Where is SARA ELLEN NELSON (DO) based?
SARA ELLEN NELSON (DO) is tied to Birmingham, Alabama in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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