CLINTON GREGORY NELSON (DO) – Emergency Medicine Physician, NPI 1154959229

CLINTON GREGORY NELSON (DO) is a healthcare provider. based in Kansas city, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 010310 (AZ). The NPI Number for CLINTON GREGORY NELSON (DO) is 1154959229

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CLINTON GREGORY NELSON (DO)
NPI
1154959229
Phone
(816) 404-4175
Address
2301 HOLMES ST
Enumeration Date
1 April 2020
Last Update Date
7 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2020 (6 years ago)
PAC ID
6507289675
Group Practice PAC ID
2567692528
Professional Enrollment ID
I20230705001292
Address ID
AZ850858876PH33400AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

Provider Addresses for CLINTON GREGORY NELSON (DO)

  • 2301 HOLMES ST

    KANSAS CITY, MO 641082677

    Phone: (816) 404-4175

    Fax: (816) 404-0003

    Type: Mailing

  • 250 E DUNLAP AVE

    PHOENIX, AZ 850202825

    Phone:

    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: 2023-07-05

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
I20230705001292IEmergency MedicineAZTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7362$0
99285Emergency department visit with high level of medical decision making7372$0
99291Critical care, first 30-74 minutes5656$0
99284Emergency department visit with moderate level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 64108)

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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: 2567692528View full group profile
NameSpecialtyState
Emergency MedicineNV
Nurse PractitionerAZ
Emergency MedicineAZ
Emergency MedicineTX
Emergency MedicineGA
Emergency MedicineAZ
Emergency MedicineAZ
Emergency MedicineTX
Physician AssistantAZ
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I verify CLINTON GREGORY NELSON (DO) with an NPI only?
You can start verification with NPI 1154959229 for CLINTON GREGORY NELSON (DO), then check state licensing separately.
Can I rely on CLINTON GREGORY NELSON (DO) being an active provider?
As of the registry snapshot, CLINTON GREGORY NELSON (DO) is marked active.
What taxonomy line describes CLINTON GREGORY NELSON (DO)?
For research purposes, treat CLINTON GREGORY NELSON (DO) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does CLINTON GREGORY NELSON (DO) list a practice location?
Patients near Kansas City, Missouri may find CLINTON GREGORY NELSON (DO) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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