JOHN D NELSON (MD) – Family Medicine Physician, NPI 1194718221

JOHN D NELSON (MD) is a healthcare provider. based in Mcminnville, Oregon. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD15082 (OR). The NPI Number for JOHN D NELSON (MD) is 1194718221

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
JOHN D NELSON (MD)
NPI
1194718221
Phone
(503) 472-4649
Address
821 NE HIGHWAY 99W STE A
Enumeration Date
24 August 2005
Last Update Date
5 June 2014

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5034724649
Graduation Year
1984 (42 years ago)
PAC ID
6305824897
Professional Enrollment ID
I20040712000145
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for JOHN D NELSON (MD)

  • 821 NE HIGHWAY 99W STE A

    MCMINNVILLE, OR 971282733

    Phone: (503) 472-4649

    Fax: (503) 434-1679

    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)

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: 2004-07-12

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
I20040712000145IFamily PracticeORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes335100$0
36415Insertion of needle into vein for collection of blood sample11066$0
99213Established patient office or other outpatient visit, 20-29 minutes5040$0
81002Urinalysis, manual test1611$0
View full utilization report →

Insurance plans in this area (ZIP 97128)

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Reviews

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Frequently asked questions

How do payers reference JOHN D NELSON (MD)?
For JOHN D NELSON (MD), use NPI 1194718221 as the unique 10-digit identifier.
Is JOHN D NELSON (MD) still an active registrant?
JOHN D NELSON (MD) carries an active NPI according to the public dataset.
What area of care is associated with JOHN D NELSON (MD)?
JOHN D NELSON (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN D NELSON (MD)?
Directory geography for JOHN D NELSON (MD) centers on Mcminnville, Oregon.
Does JOHN D NELSON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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