MR. DEREK M NELSON (PA-C) – Physician Assistant, NPI 1659325033
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
Provider Addresses for MR. DEREK M NELSON (PA-C)
306 W 2nd St
Tilden, NE 687814760
Phone: (402) 368-9964
Fax: (402) 368-5675
Type: Location
810 N 22nd St
Blair, NE 680081128
Phone: (402) 426-1150
Fax: (402) 426-1190
Type: Location
810, North 22nd Street, Blair, Washington County, Nebraska, 68008, United States
BLAIR, NE 680081128
Phone: (402) 426-2182
Fax: (402) 426-1190
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: 2004-06-08
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 |
|---|---|---|---|---|
| I20040608001243 | I | Physician Assistant | NE | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68781)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NE | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 60 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| Family Practice, Emergency Medicine | IA | |
| - | NE |
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