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DR. JACOB H NELSON D.P.M.
NPI 1104267780
Podiatrist - Foot & Ankle Surgery in Mesa, AZ

Active since July 11, 2013PECOS EnrolledAccepts Medicare Assignment
5432 E SOUTHERN AVE STE 101B, MESA, AZ 85206(480) 210-3336(480) 210-3339 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2022, Jan 16, 2018, Jan 26, 2017 (3 updates tracked since 2017).

About Dr. Jacob H Nelson D.p.m. NPPES

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

DR. JACOB H NELSON D.P.M. (NPI 1104267780) is an individual foot & ankle surgery provider in Mesa, Arizona, licensed in Arizona (0832) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of Arizona Podiatric Med Program At Midwestern Un (2013).

NPPES Registry Identity

NPI1104267780
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JACOB H NELSONCredential: D.P.M.
Location Address5432 E SOUTHERN AVE STE 101BMesa, AZ 85206-2772
Mailing Address5432 E Southern Ave Ste 101bMesa, AZ 85206-2772 · (480) 210-3336 · Fax (480) 210-3339
Phone(480) 210-3336
Fax(480) 210-3339
Sole ProprietorNo
Medical School CMSArizona Podiatric Med Program At Midwestern UnGraduated 2013
Enumeration DateJuly 11, 2013
Last NPPES UpdateOctober 18, 20223 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1104267780 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 AZ · 0832
5432 E SOUTHERN AVE STE 101B, Mesa, AZ 85206
Open in Google Maps ↗

Secondary Practice Location 1

Location 11520 S Dobson Rd, SUITE 307Mesa, AZ 85202-4725 · Phone (480) 844-8218 · Fax (480) 800-6647

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob H Nelson D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638459241
PECOS Enrollment IDI20161216000316
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
199 services85 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
94 services49 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
77 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
68 services68 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
60 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services38 patients

Other Providers at the Same Location NPPES 4

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

JOSHUA JACKSON
Nurse Practitioner (Family)
5432 E SOUTHERN AVE STE 101B
MESA, AZ 85206
Maricopa County (480) 999-7911
SAGEBRUSH DERMATOLOGY PLLC
Dermatology
5432 E SOUTHERN AVE STE 101B
MESA, AZ 85206
Maricopa County (480) 681-3376
MOUNTAIN VIEW FOOT & ANKLE LLC
Podiatrist (Foot & Ankle Surgery)
5432 E SOUTHERN AVE STE 101B
MESA, AZ 85206
Maricopa County (480) 210-3336
CHAO LI MD
Dermatology
5432 E SOUTHERN AVE STE 101B
MESA, AZ 85206
Maricopa County (480) 681-3376

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 Jacob Nelson's NPI number?

The NPI number for Jacob Nelson is 1104267780. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Where is Jacob Nelson located?

Jacob Nelson practices at 5432 E Southern Ave Ste 101B, Mesa, AZ 85206. The listed phone number is (480) 210-3336.

What is Jacob Nelson's specialty?

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

Is Jacob Nelson enrolled in Medicare?

Yes. Jacob Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Nelson accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Jacob 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.

When was this NPI record last updated?

The NPPES record for Jacob Nelson was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.