GLENN E. NELSON DPM NPI 1104813237

NPI Information

  • NPI: 1104813237
  • Provider Name: GLENN E. NELSON, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2308 N ROSEMONT BLVD
    TUCSON, AZ
    ZIP 85712
  • Phone: (520) 886-1176

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NPI Details

Glenn E. Nelson, DPM is a foot and ankle surgery podiatrist in Tucson, AZ. Glenn E. Nelson, DPM NPI is 1104813237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2308 N ROSEMONT BLVD
TUCSON, AZ
ZIP 85712-139
Phone: (520) 886-1176
Fax: (520) 290-8894

The NPI 1104813237 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection into tendon or ligament (HCPCS:20550)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)

The enumeration date for this NPI number is 10/4/2005 and was last updated on 1/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery0310ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00198920OTHERARIZONARAIL ROAD MEDICARE
2701004MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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