Mary Nelson MD PC
NPI 1104163179 · Family Medicine Physician · Cedar Rapids, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Nelson MD PC is a Family Medicine Physician organization in Cedar Rapids, IA (NPI 1104163179).
Provider details
- NPI number
- 1104163179
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Nelson, President(319) 365-8616
- License
- 20657 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-01-11
- Last updated
- 2013-01-11
Frequently asked questions
- What is Mary Nelson MD PC's NPI number?
- Mary Nelson MD PC's National Provider Identifier (NPI) is 1104163179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Nelson MD PC?
- Mary Nelson MD PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Nelson MD PC located?
- Mary Nelson MD PC's practice location on file with NPPES is 411 10th St Se, Cedar Rapids, IA 52403-2442.
- What is Mary Nelson MD PC's phone number?
- The practice phone number listed in the NPPES registry for Mary Nelson MD PC is (319) 365-8616.
- Does Mary Nelson MD PC accept Medicare?
- Mary Nelson MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mary Nelson MD PC?
- The authorized official listed on Mary Nelson MD PC's NPPES record is Mary Nelson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Nelson MD PC's NPI active?
- Yes — Mary Nelson MD PC's NPI (1104163179) is active in the NPPES registry as of the last update on 2013-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.