DR. KASEY C NELSON (D.O.) – Emergency Medicine Physician, NPI 1205050416

DR. KASEY C NELSON (D.O.) is a healthcare provider. based in Gaylord, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101015756 (MI). The NPI Number for DR. KASEY C NELSON (D.O.) is 1205050416

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KASEY C NELSON (D.O.)
NPI
1205050416
Phone
(989) 731-2100
Address
825 N Center Ave
Enumeration Date
12 April 2007
Last Update Date
27 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185490721
Graduation Year
2003 (23 years ago)
PAC ID
2769576719
Group Practice PAC ID
3678677390
Professional Enrollment ID
I20190102000921
Address ID
IL629011462CA405XXSTXX400

Contacts

Secure Messaging
knelson26615@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for DR. KASEY C NELSON (D.O.)

  • 825 N Center Ave

    Gaylord, MI 497351592

    Phone: (989) 731-2100

    Fax: (989) 731-2205

    Type: Location

  • 2 S Hospital Dr

    Murphysboro, IL 629663333

    Phone: (618) 684-3156

    Fax: (618) 529-0524

    Type: Location

  • 201 S 14th St

    Herrin, IL 629483631

    Phone: (618) 942-2171

    Fax: (618) 351-4917

    Type: Location

  • 1239 E MAIN ST

    PO BOX 3988

    CARBONDALE, IL 62901

    Phone: (618) 457-5200

    Type: Mailing

  • 405 W JACKSON ST

    CARBONDALE, IL 62901

    Phone: (618) 549-0721

    Fax: (618) 457-0469

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-08-11 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($17).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-11

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: 2019-01-02

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
I20190102000921IEmergency MedicineILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making192186$0
99284Emergency department visit with moderate level of medical decision making117114$0
99291Critical care, first 30-74 minutes1313$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 49735)

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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: 3678677390View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YIL
Cardiovascular Disease (Cardiology)IL
-IL
Emergency MedicineIL
Nurse PractitionerMO
Nurse PractitionerIL
Emergency MedicineIL
-IL
N E U R O L O G YIL
U R O L O G YIL

Reviews

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Frequently asked questions

What is DR. KASEY C NELSON (D.O.)'s NPI number?
DR. KASEY C NELSON (D.O.)'s NPI is 1205050416 — the number used across U.S. healthcare to identify this provider.
Is DR. KASEY C NELSON (D.O.) still an active registrant?
DR. KASEY C NELSON (D.O.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. KASEY C NELSON (D.O.)?
DR. KASEY C NELSON (D.O.)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KASEY C NELSON (D.O.) associated with Gaylord?
Public fields place DR. KASEY C NELSON (D.O.) around Gaylord, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. KASEY C NELSON (D.O.) is noted as April 12, 2007 where the registry provides it.

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