DR. CAITLYN ELIZABETH NELSON D.D.S
NPI 1043660160
Dentist - General Practice in Clendenin, WV

Active since June 20, 2016PECOS Enrolled
107 KOONTZ AVE STE 200, CLENDENIN, WV 25045(304) 548-2160 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 1, 2026, Apr 2, 2019, Jun 20, 2016 (3 updates tracked since 2016).

About Dr. Caitlyn Elizabeth Nelson D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAITLYN ELIZABETH NELSON D.D.S (NPI 1043660160) is an individual general practice provider in Clendenin, West Virginia, licensed in West Virginia (4260) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1043660160
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CAITLYN ELIZABETH NELSONCredential: D.D.S
Location Address107 KOONTZ AVE STE 200Clendenin, WV 25045
Mailing Address711 Myrtle RdCharleston, WV 25314-1117 · (304) 767-5464
Sole ProprietorNo
Medical School CMSWest Virginia University School Of DentistryGraduated 2016
Enumeration DateJune 20, 2016
Last NPPES UpdateMay 1, 20263 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1043660160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WV · 4260
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
107 KOONTZ AVE STE 200, Clendenin, WV 25045

Secondary Practice Locations 4

Location 1415 Morris St Ste 309Charleston, WV 25301-1853 · Phone (304) 388-3290
Location 21220 Lee St ECharleston, WV 25301-1863 · Phone (304) 388-1800
Location 3830 Pennsylvania Ave Ste 302Charleston, WV 25302-3390 · Phone (304) 388-2950
Location 4121 Hendersonville RdAsheville, NC 28803-2868 · Phone (304) 767-5464

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Caitlyn Elizabeth Nelson D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901285949
PECOS Enrollment IDI20260522002280
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Caitlyn Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
415 MORRIS ST STE 400
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Nurse Practitioner (Family)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Nurse Practitioner (Family)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Clinic/Center (Federally Qualified Health Center (FQHC))
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Physician Assistant
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Counselor (Mental Health)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Family Medicine
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Psychologist
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caitlyn Nelson's NPI number?

The NPI number for Caitlyn Nelson is 1043660160. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Caitlyn Nelson located?

Caitlyn Nelson practices at 107 Koontz Ave Ste 200, Clendenin, WV 25045. The listed phone number is (304) 548-2160.

What is Caitlyn Nelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Caitlyn Nelson enrolled in Medicare?

Yes. Caitlyn Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caitlyn Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlyn Nelson reassigns Medicare benefits to Charleston Area Medical Center, Inc. (Charleston, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caitlyn Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caitlyn Nelson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and Florida Combined Life and 3 other insurers list Caitlyn Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Caitlyn Nelson affiliated with any hospitals?

According to CMS data, Caitlyn Nelson is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Caitlyn Nelson was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.