KASEY C. NELSON D.O. – NPI #1205050416
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Health Care Provider Taxonomy Code for Emergency Medicine

KASEY NELSON is a physician located in CARBONDALE, IL. NPPES has assigned the NPI number 1205050416 to KASEY NELSON on April 12, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 5 years ago on Sep 27, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KASEY NELSON below.

NPI Profile for
KASEY C. NELSON

NPI Number
1205050416
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KASEY C. NELSON
Credentials
D.O.
Primary location
405 W JACKSON ST
CARBONDALE, IL 62901
Phone: (618) 549-0721 Fax: (618) 457-0469
3 Other location(s):
201 S 14th St
Herrin, IL 62948-3631
Phone: (618) 942-2171
Fax: (618) 351-4917
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone: (618) 684-3156
Fax: (618) 529-0524
825 N Center Ave
Gaylord, MI 49735-1592
Phone: (989) 731-2100
Fax: (989) 731-2205
Mailing address
1239 E MAIN ST
PO BOX 3988
CARBONDALE, IL 62901
Phone: (618) 457-5200 Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KASEY NELSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBC PINMI700F960010
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)		 MI 5101015756

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2 S HOSPITAL DR,
MURPHYSBORO, IL 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
201 S 14TH ST,
HERRIN, IL 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
405 W JACKSON ST,
CARBONDALE, IL 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KASEY NELSON is affiliated with the following medical group(s):
  • HOSPITAL
    • HERRIN HOSPITAL
      201 S 14TH ST
      HERRIN, IL 62948
    • MEMORIAL HOSPITAL OF CARBONDALE
      405 W JACKSON
      CARBONDALE, IL 62901
    • ST JOSEPH MEMORIAL HOSPITAL
      2 SOUTH HOSPITAL DRIVE
      MURPHYSBORO, IL 62966

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.