NICHOLLS NELSON (MD) – Emergency Medicine Physician, NPI 1194257212
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
886 EMERGENCY MEDICINE in KY
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Provider Addresses for NICHOLLS NELSON (MD)
PO BOX 36218
LOUISVILLE, KY 402336218
Phone: (502) 634-6767
Fax: (502) 634-6775
Type: Mailing
Norton Audubon Hospital, 1, Audubon Plaza Drive, Louisville, Jefferson County, Kentucky, 40217, United States
LOUISVILLE, KY 402171318
Phone: (502) 634-6767
Type: Location
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: 2022-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190320003426 | I | Emergency Medicine | KY | TBD |
| I20220810002379 | I | Emergency Medicine | CO | 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 |
|---|---|---|---|---|
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 16 | 15 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 13 | 13 | $0 |
Insurance plans in this area (ZIP 40233)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Emergency Medicine | UT | |
| Emergency Medicine | FL | |
| Emergency Medicine | CO | |
| - | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| - | CO | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | CO |
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