NICOLE CHRISTIN NELSON (DO) – Surgical Oncology Physician, NPI 1063640779

NICOLE CHRISTIN NELSON (DO) is a healthcare provider. based in Kansas city, Missouri. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 2014008889 (MO). The NPI Number for NICOLE CHRISTIN NELSON (DO) is 1063640779

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE CHRISTIN NELSON (DO)
NPI
1063640779
Phone
(573) 884-3300
Address
PO BOX 843966
Enumeration Date
1 July 2009
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738822100
Graduation Year
2009 (17 years ago)
PAC ID
3173767555
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20140923001375
Address ID
MO652120001CO1XXXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

787 GENERAL SURGERY in MO

Provider Addresses for NICOLE CHRISTIN NELSON (DO)

  • PO BOX 843966

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • ONE HOSPITAL DR

    COLUMBIA, MO 652120001

    Phone: (573) 882-8454

    Fax: (573) 884-6054

    Type: Location

  • 3220, Bluff Creek Drive, Columbia, Columbia Township, Boone County, Missouri, 65201, United States

    STE 100

    COLUMBIA, MO 652015276

    Phone: (573) 443-8773

    Type: Mailing

  • Bluff Creek Drive, Bluff Creek Estates, Columbia, Boone County, Missouri, 65201, United States

    STE 100

    COLUMBIA, MO 652013525

    Phone: (573) 443-8773

    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 $413.

Total Amount is formed as General ($413) + Research ($0) + Ownership ($0) = $413.

Last reported payment date: 2024-04-13 • Largest payer in this snapshot: Vector Surgical, LLC ($300).

Total Amount

$413

General + Research + Ownership

Payments

2

Total payment records

General Amount

$413

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-13

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: 2014-09-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140923001375IGeneral SurgeryMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11294$0
99214Established patient office or other outpatient visit, 30-39 minutes2620$0
View full utilization report →

Insurance plans in this area (ZIP 64184)

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Provider's Procedures

NICOLE CHRISTIN NELSON (DO) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYMO38900Lymph node imaging during surgery3636

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: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

How is NICOLE CHRISTIN NELSON (DO) identified in CMS data?
CMS-hosted NPPES data lists NICOLE CHRISTIN NELSON (DO) with NPI 1063640779.
Is NICOLE CHRISTIN NELSON (DO) listed as active for patients and plans?
The listing shows NICOLE CHRISTIN NELSON (DO) as active in the NPI system.
What is NICOLE CHRISTIN NELSON (DO)'s primary classification?
Surgical Oncology Physician is the headline specialty for NICOLE CHRISTIN NELSON (DO) here. Clinical services aligned with this taxonomy classification.
Does NICOLE CHRISTIN NELSON (DO) list a practice location?
Patients near Kansas City, Missouri may find NICOLE CHRISTIN NELSON (DO) in results; validate coverage separately.
Why does NICOLE CHRISTIN NELSON (DO) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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