MRS. CAROL JEAN NELSON (PA-C) – Physician Assistant, NPI 1508959479
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. CAROL JEAN NELSON (PA-C)
609 Medical Center Dr
Decatur, TX 762343836
Phone: (940) 627-5921
Fax: (940) 626-1351
Type: Location
East Texas Medical Center, 100, Municipal Drive, Gun Barrel City, Henderson County, Texas, 75156, United States
GUN BARREL CITY, TX 751563702
Phone: (903) 713-1511
Fax: (903) 713-1519
Type: Location
Barry Way, Cobbin Creek, Moonbah, Snowy Monaro Regional Council, New South Wales, 2627, Australia
BARRY, TX 75102
Phone: (903) 229-7367
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: 2008-01-30
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 |
|---|---|---|---|---|
| I20080130000693 | I | Physician Assistant | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 101 | 96 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 59 | 57 | $0 |
| 99291 | Critical care, first 30-74 minutes | 44 | 41 | $0 |
| 99497 | Advance care planning, first 30 minutes | 23 | 22 | $0 |
Insurance plans in this area (ZIP 76234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Internal Medicine | TX | |
| - | NJ | |
| H O S P I T A L I S T | TX | |
| - | NY | |
| Internal Medicine | OK | |
| Hospitalist, Internal Medicine | TN | |
| Internal Medicine, Hospitalist | OH | |
| Family Practice | TX | |
| Internal Medicine | TX |
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