DR. MICHAEL MARK NELSON (M.D.) – Dermatology Physician, NPI 1093765034

DR. MICHAEL MARK NELSON (M.D.) is a healthcare provider. based in Tacoma, Washington. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD60058324 (WA). The NPI Number for DR. MICHAEL MARK NELSON (M.D.) is 1093765034

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL MARK NELSON (M.D.)
NPI
1093765034
Phone
(253) 752-2273
Address
4707 S 19th St Ste 130
Enumeration Date
11 May 2006
Last Update Date
30 April 2020

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2534001202
Graduation Year
2000 (26 years ago)
PAC ID
1850394073
Professional Enrollment ID
I20090115000610
Address ID
WA983358349GI7901XAVEX302

Contacts

Secure Messaging
mnelson@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

393 DERMATOLOGY in WA

Provider Addresses for DR. MICHAEL MARK NELSON (M.D.)

  • 4707 S 19th St Ste 130

    Tacoma, WA 984051151

    Phone: (253) 752-2273

    Fax: (253) 759-0914

    Type: Location

  • 219, Point Fosdick Drive Northwest, Gig Harbor, Pierce County, Washington, 98335, United States

    GIG HARBOR, WA 983351706

    Phone: (253) 851-7733

    Fax: (253) 851-8060

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 104 Open Payments records for all available years, with a total value of $2,009.

Total Amount is formed as General ($2,009) + Research ($0) + Ownership ($0) = $2,009.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($775).

Total Amount

$2,009

General + Research + Ownership

Payments

104

Total payment records

General Amount

$2,009

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-01-15

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
I20090115000610IDermatologyWATBD

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
17003Destruction of precancer skin growth, 2-14 growths1,342235$0
99213Established patient office or other outpatient visit, 20-29 minutes482338$0
17000Destruction of precancer skin growth, 1 growth442325$0
17110Destruction of skin growth, 1-14 growths282227$0
99203New patient office or other outpatient visit, 30-44 minutes281281$0
View full utilization report →

Insurance plans in this area (ZIP 98405)

Loading plans...

Provider's Procedures

DR. MICHAEL MARK NELSON (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYWA11101Biopsy of each additional growth of skin and/or tissue2418
DERMATOLOGYWA17003Destruction of 2-14 skin growths1638296

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

What number should I use to identify DR. MICHAEL MARK NELSON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1093765034 for DR. MICHAEL MARK NELSON (M.D.).
Does the public listing show DR. MICHAEL MARK NELSON (M.D.) as active?
DR. MICHAEL MARK NELSON (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. MICHAEL MARK NELSON (M.D.)'s specialty?
The extract shows Dermatology Physician for DR. MICHAEL MARK NELSON (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. MICHAEL MARK NELSON (M.D.)?
The directory associates DR. MICHAEL MARK NELSON (M.D.) with Tacoma, Washington. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. MICHAEL MARK NELSON (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

JAMES M KOMOROUS MD PS

Dermatology Physician
MultiCare Allenmore Hospital, 1901, South Union Avenue, Tacoma, Pierce County, Washington, 98405, United States
NPI: 1528060902

SIDNEY F WHALEY JR

Dermatology Physician
314 MLK JR WY #210
NPI: 1336129154

DR. PITIPORN SUWATTEE (M.D.)

Dermatology Physician
1 veterans drive
NPI: 1710073291

JILL R. ROSENTHAL (M.D.)

Dermatology Physician
PO BOX 34581
NPI: 1457418410

BERT MANFRED BAKER (PA-C)

Physician Assistant
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
NPI: 1851421374

NICOLE MARIE CASSLER (MD)

Dermatology Physician
Oregon Medical Group Dermatology
NPI: 1750585741

ANGELA L LADENBURG (ARNP)

Nurse Practitioner
219, Point Fosdick Drive Northwest, Gig Harbor, Pierce County, Washington, 98335, United States
NPI: 1508048182

AARON PACE (M.D.)

Dermatology Physician
1901 S UNION AVE STE B3003
NPI: 1760646129

Unknown Individual

Dermatology Physician
1708, East 44th Street, Salishan, Tacoma, Pierce County, Washington, 98404, United States
NPI: 1790932903