KEVIN F NELSON (PA-C) – Physician Assistant, NPI 1316976814
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for KEVIN F NELSON (PA-C)
3237 Voyager Dr
Green Bay, WI 543118349
Phone: (920) 468-8288
Type: Location
1630 Commanche Ave
Green Bay, WI 543135753
Phone: (920) 593-5555
Fax: (920) 593-5549
Type: Location
3237, Voyager Drive, Green Bay, Brown County, Wisconsin, 54311, United States
GREEN BAY, WI 543118349
Phone: (920) 468-8288
Fax: (920) 445-7229
Type: Mailing
3533 MATLOCK RD
ARLINGTON, TX 760153604
Phone: (817) 419-0303
Fax: (817) 468-5963
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: 2022-07-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050920001194 | I | Physician Assistant | WI | TBD |
| I20220713002785 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54311)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery, Hand Surgery | NC | |
| Physician Assistant | TX | |
| Orthopedic Surgery, Sports Medicine | TX | |
| Physician Assistant | AZ |
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