NICHOLAS B NELSON (MD) – Internal Medicine Physician, NPI 1063646255

NICHOLAS B NELSON (MD) is a healthcare provider. based in Portland, Oregon. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD157850 (OR). The NPI Number for NICHOLAS B NELSON (MD) is 1063646255

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS B NELSON (MD)
NPI
1063646255
Phone
Not provided
Address
PO BOX 3158
Enumeration Date
4 May 2009
Last Update Date
26 January 2018

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
5032162229
Graduation Year
2009 (17 years ago)
PAC ID
8224285192
Group Practice PAC ID
9335057447
Professional Enrollment ID
I20120828000659
Address ID
OR972256603PO9205XRDXX410
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

645 HOSPITALIST in OR

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Provider Addresses for NICHOLAS B NELSON (MD)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972256603

    Phone: (503) 216-2906

    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.

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: 2012-08-28

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
I20120828000659IHospitalistORTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes19997$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17183$0
99239Hospital discharge day management, more than 30 minutes5857$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3939$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2619$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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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: 9335057447View full group profile
NameSpecialtyState
Emergency MedicineMI
Hospitalist, Internal MedicineOR
Medical Oncology, HematologyFL
P A T H O L O G YOR
Cardiovascular Disease (Cardiology), Interventional CardiologyOH
Pulmonary DiseaseOR
-OR
E N D O C R I N O L O G YOR
General SurgeryOR
P A T H O L O G YOR

Reviews

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Frequently asked questions

Can I cross-check NICHOLAS B NELSON (MD) using NPI 1063646255?
NPI 1063646255 belongs to NICHOLAS B NELSON (MD); compare other details if you need extra assurance.
Is NICHOLAS B NELSON (MD) shown as active in public data?
Registry records indicate NICHOLAS B NELSON (MD) maintains an active NPI.
What area of care is associated with NICHOLAS B NELSON (MD)?
NICHOLAS B NELSON (MD)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is NICHOLAS B NELSON (MD) located near Portland?
NICHOLAS B NELSON (MD) currently maps to Portland, Oregon in this extract.
Can I trust this NPI listing for NICHOLAS B NELSON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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