Whitney Nelson
NPI 1093208613ActiveIndividual· Family Medicine· Spirit Lake, IA
Family Medicine with Lakes Regional Healthcare, practicing in Spirit Lake, Iowa. Their prescriptions cost Medicare Part D more than their services did: $253,836 for 4,763 claims, against $68,849 paid for services in 2024. Lists Avera Holy Family Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1093208613 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 8, 2018 |
| Last updated in NPPES | Jul 27, 2021 |
| Certified by provider | Jul 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 94-09561 | KS |
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 (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 395 |
|---|---|
| Services billed | 1,273 across 28 procedure codes |
| Paid by Medicare | $68,849 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,763 · 8,572 30-day fills |
|---|---|
| Patients | 333 |
| Total drug cost | $253,836 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Lakes Regional HealthcareSpirit Lake, IA · 38 clinicians
Hospital affiliations
- Avera Holy Family HospitalEstherville, IA
- Avera McKennan Hospital & University Health CenterSioux Falls, SD
- Lakes Regional HealthcareSpirit Lake, IA
- Spencer Municipal HospitalSpencer, IA
Other facilities
- Accura Healthcare of MilfordNursing home · Milford, IA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 20 family medicine physicians in Spirit Lake · All family medicine physicians in Iowa