GRACE BAZAN NELSON M.D.
NPI 1053721050
Pediatrics - Pediatric Endocrinology in Memphis, TN

Q: What is Grace Nelson's NPI number?

The NPI number for Grace Nelson is 1053721050. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Q: What is Grace Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Grace Nelson was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 30, 2014PECOS Enrolled

51 N DUNLAP ST FL 3, MEMPHIS, TN 38105(901) 287-7337 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2020, Sep 14, 2016 (2 updates tracked since 2016).

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About Grace Bazan Nelson M.d. NPPES

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

GRACE BAZAN NELSON M.D. (NPI 1053721050) is an individual pediatric endocrinology provider in Memphis, Tennessee, licensed in Tennessee (54820) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1053721050

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameGRACE BAZAN NELSONCredential: M.D.

Location Address51 N DUNLAP ST FL 3Memphis, TN 38105-4625

Mailing Address49 N Dunlap St Fl 1Memphis, TN 38103-2802

Phone(901) 287-7337

Sole ProprietorNo

Enumeration DateApril 30, 2014

Last NPPES UpdateJuly 21, 20202 updates tracked since enumeration

NPPES CertifiedJuly 21, 2020

✔ NPI 1053721050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in TN · 54820

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

51 N DUNLAP ST FL 3, Memphis, TN 38105

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Secondary Practice Location 1

Location 1University Of Tennessee, 910 Madison Avenue Suite 1031Memphis, TN 38163-0001 · Phone (901) 448-7635

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Bazan Nelson M.d. 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

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

Ut Lebonheur Pediatric Specialists, Inc.

0.1 mi

Pediatrics

848 ADAMS AVE.
Memphis, TN 38103

Reassigned Medicare billing, Tennessee enrollment
582 clinicians in this Medicare group

NPI 1093024101 (901) 287-7337

Pediatric Emergency Specialists, PC

0.1 mi

Pediatric Emergency Medicine

848 ADAMS AVE
Memphis, TN 38103

Reassigned Medicare billing, Tennessee enrollment
25 clinicians in this Medicare group

NPI 1760482434 (901) 287-6112

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38105 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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 6

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

TRISCILLA D'ANNE JOHNSON LPC-MHSP

Counselor (Professional)