Derek Nelson, DO
NPI 1275854242 · Physical Medicine & Rehabilitation Physician · Saint Paul, MN
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Nelson, DO is a Physical Medicine & Rehabilitation Physician provider in Saint Paul, MN (NPI 1275854242).
Provider details
- NPI number
- 1275854242
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- R8924 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,537 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 991 | $104 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 269 | $174 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 115 | $61 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 57 | $147 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 55 | $72 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month |
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-06-14
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Frequently asked questions
- What is Derek Nelson's NPI number?
- Derek Nelson's National Provider Identifier (NPI) is 1275854242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Nelson's specialty?
- Derek Nelson is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Derek Nelson located?
- Derek Nelson's practice location on file with NPPES is 280 Smith Ave N Ste 220, Saint Paul, MN 55102-2459.
- What is Derek Nelson's phone number?
- The practice phone number listed in the NPPES registry for Derek Nelson is (651) 241-8295.
- Does Derek Nelson accept Medicare?
- Derek Nelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Nelson's NPI active?
- Yes — Derek Nelson's NPI (1275854242) is active in the NPPES registry as of the last update on 2025-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.