Valerie Nelson, MD
NPI 1063823961ActiveIndividual· Family Medicine· Franklin, WI
Family Medicine (MD) in Franklin, Wisconsin, trained at University of Minnesota Medical School (class of 2014). Their prescriptions cost Medicare Part D more than their services did: $539,024 for 6,066 claims, against $36,786 paid for services in 2024. Exact Sciences Corporation was the largest of 2 companies reporting payments in 2025, $35.23 in all, mostly food and beverage.
Overview
| NPI | 1063823961 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 13, 2014 |
| Last updated in NPPES | Sep 7, 2023 |
| Certified by provider | Sep 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 74743 | WI |
| Family Medicine | 207Q00000X | MD180560 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 130 |
|---|---|
| Services billed | 587 across 36 procedure codes |
| Paid by Medicare | $36,786 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,066 · 14,677 30-day fills |
|---|---|
| Patients | 537 |
| Total drug cost | $539,024 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Family Practice |
Medical groups
- Cora Health Services IncThe Villages, FL · 1,136 clinicians
- Ascension Medical Group-Southeast Wisconsin IncBrookfield, WI · 545 clinicians
- Columbia St Marys Hospital Milwaukee IncMilwaukee, WI · 306 clinicians
Hospital affiliations
- Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI
- Ascension Se Wisconsin HospitalMilwaukee, WI
- Ascension St Francis HospitalMilwaukee, WI
- Northwestern Lake Forest HospitalLake Forest, IL
- Waukesha Memorial HospitalWaukesha, WI
Other facilities
- Ascension at HomeHome health agency · Milwaukee, WI
Industry payments (Open Payments)
- 2025$35.23 · 2 payments from 2 companies
- 2024$48.14 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $20.62 | 1 |
| Novo Nordisk Inc | $14.61 | 1 |
What the 2025 payments were for
- Food and Beverage$35.23 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 family medicine physicians in Franklin · All family medicine physicians in Wisconsin