EDWARD THOMAS NELSON (M.D.) – Emergency Medicine Physician, NPI 1306231006

EDWARD THOMAS NELSON (M.D.) is a healthcare provider. based in Slc, Utah. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 10714568-1205 (UT). The NPI Number for EDWARD THOMAS NELSON (M.D.) is 1306231006

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD THOMAS NELSON (M.D.)
NPI
1306231006
Phone
(801) 507-9700
Address
PO BOX 571117
Enumeration Date
31 March 2015
Last Update Date
18 February 2020

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8015079700
Graduation Year
2015 (11 years ago)
PAC ID
6709192750
Group Practice PAC ID
1153307277
Professional Enrollment ID
I20181025000896
Address ID
UT841075701SA5121XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

487 EMERGENCY MEDICINE in UT

Provider Addresses for EDWARD THOMAS NELSON (M.D.)

  • PO BOX 571117

    SLC, UT 841571117

    Phone: (801) 507-9700

    Type: Mailing

  • 5121 S COTTONWOOD ST

    MURRAY, UT 841075701

    Phone: (801) 507-9700

    Type: Location

  • 3181 SW Sam Jackson Park Rd

    Portland, OR 972393011

    Phone: (503) 494-8211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2018-10-25

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
I20181025000896IEmergency MedicineUTTBD

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
99285Emergency department visit with high level of medical decision making107106$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9188$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only4545$0
99284Emergency department visit with moderate level of medical decision making3232$0
99291Critical care, first 30-74 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 84157)

Loading plans...

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: 1153307277View full group profile
NameSpecialtyState
Emergency MedicineUT
Emergency MedicineUT
Emergency MedicineUT
-UT
Emergency MedicineUT
Nurse PractitionerUT
Emergency MedicineUT
-UT
Emergency MedicineUT
Emergency MedicineUT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm EDWARD THOMAS NELSON (M.D.)'s NPI?
Yes. EDWARD THOMAS NELSON (M.D.) is listed with NPI 1306231006 in the public NPI dataset.
Does the file indicate EDWARD THOMAS NELSON (M.D.) is practicing under active NPI?
Directory data currently reports EDWARD THOMAS NELSON (M.D.) as active.
What taxonomy line describes EDWARD THOMAS NELSON (M.D.)?
For research purposes, treat EDWARD THOMAS NELSON (M.D.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for EDWARD THOMAS NELSON (M.D.)?
EDWARD THOMAS NELSON (M.D.)'s geographic hint is Slc, Utah in our summary view.
Why does EDWARD THOMAS NELSON (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

LISA DOYLE (MD)

Emergency Medicine Physician
385 PIONEER RIDGE RD
NPI: 1255304408

JULIE ANN FOX (MD)

Emergency Medicine Physician
South Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States
NPI: 1659380624
144 S 500 E
NPI: 1144420357

KRISTINA EVANS

Emergency Medicine Physician
3432 S CRESTWOOD DR
NPI: 1215324025

ZACHARY JAY JOHNSON

Emergency Medicine Physician
3950 S COUNTRY CLUB RD STE 200
NPI: 1619545282