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NADINE NELSON
NPI 1194367177
Nurse Practitioner - Family in Philadelphia, PA

Active since October 11, 2019PECOS Enrolled
SPECTRUM HEALTH SERVICES, 5201 HAVERFORD AVENUE, PHILADELPHIA, PA 19139(215) 471-2761 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nadine Nelson NPPES

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

NADINE NELSON (NPI 1194367177) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP020917) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194367177
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNADINE NELSON
Location AddressSPECTRUM HEALTH SERVICES, 5201 HAVERFORD AVENUEPhiladelphia, PA 19139-1913
Mailing Address719 Collenbrook AveDrexel Hill, PA 19026-4309 · (215) 384-6681
Phone(215) 471-2761
Sole ProprietorNo
Enumeration DateOctober 11, 2019
✔ NPI 1194367177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP020917
SPECTRUM HEALTH SERVICES, Philadelphia, PA 19139
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Meditelecare Of Pennsylvania LLC
90 mi
Clinical
600 N 2ND ST STE 401
Harrisburg, PA 17101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 66 clinicians in this Medicare group
NPI 1396351847 (860) 788-6404
Grow Healthcare Group PA
1,019 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Delaware enrollment
  • 235 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 19139 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$61.89 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nadine Nelson's NPI number?

The NPI number for Nadine Nelson is 1194367177. It was assigned to this individual provider in the NPPES registry on October 11, 2019.

Where is Nadine Nelson located?

Nadine Nelson practices at Spectrum Health Services 5201 Haverford Avenue, Philadelphia, PA 19139. The listed phone number is (215) 471-2761.

What is Nadine Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nadine Nelson enrolled in Medicare?

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

Which organizations bill Medicare for Nadine Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nadine Nelson reassigns Medicare benefits to 2 organizations: Meditelecare Of Pennsylvania LLC (Harrisburg, PA) and Grow Healthcare Group PA (Miami, FL). 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 Nadine Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nadine Nelson accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Highmark Blue Cross Blue Shield Delaware list Nadine 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 Nadine Nelson was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.