MR. CHRISTOPHER L. NELSON (PA) – Surgical Physician Assistant, NPI 1114911971
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MR. CHRISTOPHER L. NELSON (PA)
1302 FRANKLIN AVE STE 4500
NORMAL, IL 617613593
Phone: (309) 556-8300
Fax: (309) 556-8293
Type: Mailing
222 W 4TH ST STE 201
COOKEVILLE, TN 385012413
Phone: (931) 783-4269
Fax: (931) 372-0401
Type: Location
140 W 7TH ST
COOKEVILLE, TN 385011726
Phone: (931) 783-5582
Type: Mailing
406 N WHITNEY AVE
COOKEVILLE, TN 385014243
Phone: (931) 783-4269
Fax: (931) 372-0401
Type: Mailing
406 N WHITNEY AVE STE 5
COOKEVILLE, TN 385014243
Phone: (931) 783-4269
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $179.
Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.
Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Stryker Corporation ($141).
Total Amount
$179
General + Research + Ownership
Payments
4
Total payment records
General Amount
$179
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $141 |
| ABIOMED | $21 |
| Chiesi USA, Inc. | $16 |
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: 2016-04-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160415001471 | I | Physician Assistant | TN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 61761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | CT | |
| Nurse Practitioner | TN | |
| G A S T R O E N T E R O L O G Y | PA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | TN |
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