MS. KASSANDRA JO NELSON (CNP) – Nurse Practitioner, NPI 1487916532
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for MS. KASSANDRA JO NELSON (CNP)
523 N 3RD ST
BRAINERD, MN 564013054
Phone: (218) 829-2861
Type: Mailing
13060 ISLE DR
BAXTER, MN 564258331
Phone: (218) 828-2880
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.
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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: 2012-10-23
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 |
|---|---|---|---|---|
| I20121023000130 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,180 | 282 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 600 | 496 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 438 | 374 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 288 | 51 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 269 | 237 | $0 |
Insurance plans in this area (ZIP 56401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN |
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