DR. JILL S NELSON (M.D.) – Dermatology Physician, NPI 1164531158

DR. JILL S NELSON (M.D.) is a healthcare provider. based in Omaha, Nebraska. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 22549 (NE). The NPI Number for DR. JILL S NELSON (M.D.) is 1164531158

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. JILL S NELSON (M.D.)
NPI
1164531158
Phone
(402) 330-4555
Address
909 N 96TH ST
Enumeration Date
30 August 2006
Last Update Date
11 July 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4023304555
Graduation Year
1996 (30 years ago)
PAC ID
1254486624
Group Practice PAC ID
7113018581
Professional Enrollment ID
I20090909000060
Address ID
NE681142508OM909XXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

64 DERMATOLOGY in NE

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Provider Addresses for DR. JILL S NELSON (M.D.)

  • 909, North 96th Street, Omaha, Douglas County, Nebraska, 68114, United States

    SUITE 201

    OMAHA, NE 681142497

    Phone: (402) 330-4555

    Fax: (402) 934-0945

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $280.

Total Amount is formed as General ($280) + Research ($0) + Ownership ($0) = $280.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($78).

Total Amount

$280

General + Research + Ownership

Payments

15

Total payment records

General Amount

$280

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2026-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090909000060IDermatologyNETBD
I20260128001081IDermatologyIATBD

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
17003Destruction of precancer skin growth, 2-14 growths1,183230$0
99213Established patient office or other outpatient visit, 20-29 minutes631484$0
17000Destruction of precancer skin growth, 1 growth446324$0
17110Destruction of skin growth, 1-14 growths313263$0
99214Established patient office or other outpatient visit, 30-39 minutes247203$0
View full utilization report →

Insurance plans in this area (ZIP 68114)

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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: 7113018581View full group profile
NameSpecialtyState
Dermatology, PathologyWI
D E R M A T O L O G YNE
D E R M A T O L O G YNE
D E R M A T O L O G YNE
P A T H O L O G YNE

Reviews

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Frequently asked questions

What number should I use to identify DR. JILL S NELSON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1164531158 for DR. JILL S NELSON (M.D.).
Should I treat DR. JILL S NELSON (M.D.) as an active provider?
Patients and plans typically see DR. JILL S NELSON (M.D.) as active in the national extract.
What services align with DR. JILL S NELSON (M.D.)'s listing?
DR. JILL S NELSON (M.D.)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JILL S NELSON (M.D.) in Omaha, Nebraska?
For routing, start with Omaha, Nebraska for DR. JILL S NELSON (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.