Dr Donna Nelson, MD - Medicare Emergency Medicine in La Jara, CO

Dr Donna Nelson, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in La Jara, Colorado. She went to University Of New Mexico School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice San Luis Valley Community Mental Health Center and her current practice location is 322 Walnut Street, La Jara, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 589-3671.

Dr Donna Nelson is licensed to practice in Colorado (license number DR.0037378) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962479907.

Contact Information

Dr Donna Nelson, MD
322 Walnut Street,
La Jara, CO 81140
(719) 589-3671
Not Available

Map and Direction




Physician's Profile

Full NameDr Donna Nelson
GenderFemale
SpecialityEmergency Medicine
Experience33 Years
Location322 Walnut Street, La Jara, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Donna Nelson attended and graduated from University Of New Mexico School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1962479907
  • Provider Enumeration Date: 03/08/2006
  • Last Update Date: 07/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6709005838
  • Enrollment ID: I20140922002062

Medical Identifiers

Medical identifiers for Dr Donna Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962479907NPI-NPPES
43475MedicaidNM
77337077MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 37378 (Colorado)Secondary
207QA0401XFamily Medicine - Addiction Medicine DR.0037378 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
San Luis Valley Community Mental Health Center034526777917

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Donna Nelson allows following entities to bill medicare on her behalf.
Entity NameLutheran Hospital Association Of The San Luis Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235181744
PECOS PAC ID: 4789589094
Enrollment ID: O20031201000318
Entity NameSan Luis Valley Community Mental Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063406999
PECOS PAC ID: 0345267779
Enrollment ID: O20051025001036

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Donna Nelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Donna Nelson, MD
8745 County Road 9 S,
Alamosa, CO 81101-9610

Ph: (719) 589-3671
Dr Donna Nelson, MD
322 Walnut Street,
La Jara, CO 81140

Ph: (719) 589-3671

Reviews and Comments


Family Medicine Doctors in La Jara, CO

Daniel Tailleur, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19021 Us Highway 285, La Jara, CO 81140
Phone: 719-274-6000    Fax: 719-274-6038
Dr. Alfred Vaughn D Jackson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 416 Main Street, La Jara, CO 81140
Phone: 719-274-4500    Fax: 719-274-4504
Marco A Celada Sr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 19021 Us Highway 285, La Jara, CO 81140
Phone: 719-274-5121    Fax: 719-274-6004
Dr. Leshitha Nuwan Pilapitiya, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19021 Us Highway 285, La Jara, CO 81140
Phone: 719-274-6000    Fax: 719-274-6038

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.