WHITNEY NELSON – Family Medicine Physician, NPI 1093208613
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,656 FAMILY PRACTICE in IA
Provider Addresses for WHITNEY NELSON
2301 HIGHWAY 71
SPIRIT LAKE, IA 513601185
Phone: (712) 336-1230
Type: Mailing
University of Kansas - School of Medicine Wichita Campus Kansas University Medical School, 1010, North Kansas Street, Wichita, Sedgwick County, Kansas, 66214, United States
WICHITA, KS 672143124
Phone: (316) 858-3460
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-07-23
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 |
|---|---|---|---|---|
| I20210723000987 | I | Family Practice | IA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 381 | 185 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 163 | 128 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 135 | 68 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 49 | 49 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 46 | 42 | $0 |
Insurance plans in this area (ZIP 51360)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| - | IA | |
| - | MN | |
| Family Practice | IA | |
| - | IA | |
| Nurse Practitioner | AZ | |
| Orthopedic Surgery | IA | |
| Family Practice, Emergency Medicine | IA | |
| Nurse Practitioner | IA | |
| - | IA |
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