DR. MARIA JEAN NELSEN (O.D.) – Optometrist, NPI 1649386608

DR. MARIA JEAN NELSEN (O.D.) is a healthcare provider. based in Ellijay, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 003565 (GA). The NPI Number for DR. MARIA JEAN NELSEN (O.D.) is 1649386608

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIA JEAN NELSEN (O.D.)
NPI
1649386608
Phone
(630) 781-9091
Address
1174 OAK HILL RD
Enumeration Date
22 August 2006
Last Update Date
17 May 2024

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7062762000
Graduation Year
1994 (32 years ago)
PAC ID
9931244191
Group Practice PAC ID
6901871508
Professional Enrollment ID
I20250317002969
Address ID
GA305405436EL60XXXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for DR. MARIA JEAN NELSEN (O.D.)

  • 1174 OAK HILL RD

    ELLIJAY, GA 305407662

    Phone: (630) 781-9091

    Type: Mailing

  • 6N467 E RIDGEWOOD DR

    ST CHARLES, IL 601756286

    Phone: (630) 762-0689

    Fax: (847) 468-9779

    Type: Mailing

  • 60 OLD HIGHWAY 5 S

    ELLIJAY, GA 305405436

    Phone: (706) 276-2000

    Type: Location

  • Russo, 1001, North Randall Road, Elgin, Elgin Township, Kane County, Illinois, 60123, United States

    ELGIN, IL 601232319

    Phone: (847) 468-9777

    Fax: (847) 468-9779

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: ABBVIE INC. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$20
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: 2025-03-17

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
I20250317002969IOptometryGATBD

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 30540)

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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: 6901871508View full group profile
NameSpecialtyState
-GA
O P T O M E T R YGA

Reviews

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Frequently asked questions

What NPI should I save for DR. MARIA JEAN NELSEN (O.D.)?
Save NPI 1649386608 if you need a stable reference for DR. MARIA JEAN NELSEN (O.D.).
Is DR. MARIA JEAN NELSEN (O.D.)'s NPI currently valid?
The extract we use shows DR. MARIA JEAN NELSEN (O.D.) as active.
Can you summarize DR. MARIA JEAN NELSEN (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. MARIA JEAN NELSEN (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARIA JEAN NELSEN (O.D.)?
The snapshot lists Ellijay, Georgia for DR. MARIA JEAN NELSEN (O.D.); download NPPES for the complete set.
How can I contact DR. MARIA JEAN NELSEN (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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