NPPES file of Aug 9, 2026

Andrea Nelson, PH.D.

Psychologist · Madison, WI

Andrea Nelson, PH.D. is a psychologist with a practice address in Madison, Wisconsin, and NPI 1265705842, issued on Feb 13, 2012. Check the license (Wisconsin 272257, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1265705842
Name
Andrea Nelson
Credential
PH.D.
Primary taxonomy
Psychologist 103T00000X
License number
272257 WI
Self-reported in NPPES; status is on the state search
Practice location
310 N Midvale Blvd Ste 202, Madison, WI 53705
Phone
(608) 238-9991
Enumerated
Feb 13, 2012
Record last updated
Feb 13, 2012 (not updated in 14 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20120607000255); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 310 N Midvale Blvd Ste 202

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Laurie Asplund, MSProfessional Counselor1063639946
  2. Jane Bartels, LMFT, CADC IIIAddiction (Substance Use Disorder) Counselor1477608487
  3. Laiza BennerSchool Social Worker1770214744
  4. Kathryn FishnickMental Health Counselor1467171017
  5. Olivia HubnerSocial Worker1851174171
  6. Sonya Laechelin, NCSPSchool Psychologist1134791312

Verify Andrea Nelson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 272257
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 80.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.1
  2. Costout of 100 · 30%49.8
  3. Promoting interoperabilityout of 100 · 25%99.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Group Health Cooperative OF South Central WisconsinMadison, WI
  2. Psychology Clinic Inc.Baraboo, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Andrea Nelson among 949 psychologist records in Wisconsin

Andrea Nelson, PH.D. is one of 949 psychologist records with a practice address in Wisconsin. 27% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 64% of them.

  • NPI issued2012 · 64% of these records are older, 34% newer
  • In a Medicare fileYes · 27% of these records are
  • In the CMS Doctors and Clinicians fileYes · 31% of these records are
  • Graduated2003 · median 2006 among the 292 with a school on file
  • Record last updated2012 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

209 psychologist records list a practice address in Madison

They are 209 of the 15,014 NPPES records with a practice address in Madison, and 949 psychologist records in Wisconsin.

The 8 psychologist records with the nearest ZIP codes

  1. Stephen Billingham, PHDMadison, WI 537051316963994
  2. Linda Bloom, PHDMadison, WI 537051174530661
  3. C. Brooks Brenneis, PH. D.Madison, WI 537051710918628
  4. Kristine Eiring, PH.D.Madison, WI 537051063406585
  5. Karen Kimball, PHDMadison, WI 537051740274984
  6. James Lickel, PH.D.Madison, WI 537051326344979
  7. Thomas Moran, PHDMadison, WI 537051013991330
  8. Colleen Mortell, PH.D.Madison, WI 537051194814269

Common questions

What is Andrea Nelson, PH.D.'s NPI number?

Andrea Nelson, PH.D.'s National Provider Identifier (NPI) is 1265705842, issued on Feb 13, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Andrea Nelson, PH.D. located?

The NPPES record lists a practice address at 310 N Midvale Blvd Ste 202, Madison, WI, 53705. Phone: (608) 238-9991. Providers update this record themselves, so call before visiting.

How can I verify Andrea Nelson, PH.D.'s license?

NPPES lists Wisconsin license number 272257, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

What is Andrea Nelson, PH.D.'s MIPS final score?

The 2023 MIPS final score is 80.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.