MARK L NELSON – Family Medicine Physician, NPI 1023464468
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
Provider Addresses for MARK L NELSON
1020 W Broadway Ave
Minneapolis, MN 554112504
Phone: (612) 302-8200
Type: Location
The Zenith, 901, South 2nd Street, Minneapolis, Hennepin County, Minnesota, 55415, United States
MINNEAPOLIS, MN 554151289
Phone: (612) 338-1383
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: 2017-08-07
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 |
|---|---|---|---|---|
| I20170807000590 | I | Family Practice | MN | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 110 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 48 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 36 | 36 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 22 | 15 | $0 |
Insurance plans in this area (ZIP 55411)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Family Practice | WA | |
| Family Practice | MN | |
| N E U R O L O G Y | MN | |
| Physician Assistant | IA | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | MN | |
| - | MN | |
| Family Practice | MN | |
| - | MN |
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