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MR. DAVID LAMONT NIELSON DPM
NPI 1053503961
Podiatrist - Foot & Ankle Surgery in Roanoke, VA

Active since August 14, 2007PECOS Enrolled
222 WALNUT AVE SW, ROANOKE, VA 24016(540) 344-3668(540) 769-6381 Get Directions Write a Review

NPPES record last updated: November 17, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. David Lamont Nielson Dpm NPPES

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

MR. DAVID LAMONT NIELSON DPM (NPI 1053503961) is an individual foot & ankle surgery provider in Roanoke, Virginia, licensed in Virginia (0103300976) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053503961
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMR. DAVID LAMONT NIELSONCredential: DPM
Location Address222 WALNUT AVE SWRoanoke, VA 24016-4723
Mailing Address222 Walnut Ave SwRoanoke, VA 24016-4723 · (540) 344-3668 · Fax (540) 769-6381
Phone(540) 344-3668
Fax(540) 769-6381
Sole ProprietorNo
Enumeration DateAugust 14, 2007
Last NPPES UpdateNovember 17, 2008
✔ NPI 1053503961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in VA · 0103300976
222 WALNUT AVE SW, Roanoke, VA 24016
Open in Google Maps ↗

Other Identifiers 4

Medicare PINP00632266VA
Medicaid1053503961VA
Medicare NSC5715980001VA
Medicare PIN017444F35VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Lamont Nielson Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show David Nielson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Williamson Health & Wellness Center Inc
116 mi
Federally Qualified Health Center (FQHC)
1000 KING COAL HWY, ROOMS 637 & 641
Delbarton, WV 25670
  • Reassigned Medicare billing, West Virginia and Kentucky enrollments
  • Also billed through NPI 1467711150 (Kentucky)
  • 28 clinicians in this Medicare group
NPI 1225684731 (304) 236-5902
Williamson Memorial, Inc.
131 mi
General Acute Care Hospital
859 ALDERSON ST
Williamson, WV 25661
  • Reassigned Medicare billing, West Virginia enrollment
  • 13 clinicians in this Medicare group
NPI 1013521228 (304) 236-5902

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

Other Providers at the Same Location NPPES 9

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

DR. DANNY BASEL GHANNOUM DPM
Podiatrist
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668
CHEYENNE MANAFI
Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668
DR. CHARLES M ZELEN DPM
Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668
DR. IVAN RUBIANO DPM
Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668
DR. ROBERT MARK BOGUSKI DPM
Podiatrist
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (947) 521-1320
DR. BOYD JENSEN III D.P.M.
Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668
FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
Podiatrist
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668
NATHAN JOHN YOUNG DPM
Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 344-3668

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 David Nielson's NPI number?

The NPI number for David Nielson is 1053503961. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is David Nielson located?

David Nielson practices at 222 Walnut Ave SW, Roanoke, VA 24016. The listed phone number is (540) 344-3668.

What is David Nielson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is David Nielson enrolled in Medicare?

Yes. David Nielson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Nielson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Nielson reassigns Medicare benefits to 2 organizations: Williamson Health & Wellness Center Inc (Delbarton, WV) and Williamson Memorial, Inc. (Williamson, WV). Each 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 David Nielson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Nielson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list David Nielson 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.

When was this NPI record last updated?

The NPPES record for David Nielson was last updated on November 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.