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DR. JACY CRAIG NELSON D.D.S.
NPI 1225015977
Dentist - General Practice in Renton, WA

Active since December 23, 2005PECOS Enrolled
14300 SE PETROVITSKY RD, RENTON, WA 98058(253) 852-0206(253) 852-6351 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacy Craig Nelson D.d.s. NPPES

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

DR. JACY CRAIG NELSON D.D.S. (NPI 1225015977) is an individual general practice provider in Renton, Washington, licensed in Washington (DE00009342) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225015977
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACY CRAIG NELSONCredential: D.D.S.
Location Address14300 SE PETROVITSKY RDRenton, WA 98058-8955
Mailing Address14300 Se Petrovitsky RdRenton, WA 98058-8955 · (253) 852-0206 · Fax (253) 852-5361
Phone(253) 852-0206
Fax(253) 852-6351
Sole ProprietorYes
Enumeration DateDecember 23, 2005
Last NPPES UpdateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
✔ NPI 1225015977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00009342
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.
14300 SE PETROVITSKY RD, Renton, WA 98058
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Jacy Craig Nelson D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98058 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 8

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

DR. TOM LEE DDS
Dentist (General Practice)
14300 SE PETROVITSKY RD
RENTON, WA 98058
King County (425) 226-2100
CHARLES R. INGLE DDS,PS
Dentist (General Practice)
14300 SE PETROVITSKY RD
RENTON, WA 98058
King County (425) 226-2348
JACY C NELSON D.D.S., P.S.
Dentist
14300 SE PETROVITSKY RD
RENTON, WA 98058
King County (253) 852-0202
DR. MARIO D CHORAK DMD, PS
Dentist (Orthodontics and Dentofacial Orthopedics)
14300 SE PETROVITSKY RD
RENTON, WA 98058
King County (425) 235-8800
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
14300 SE PETROVITSKY RD
RENTON, WA 98058
King County (425) 235-8800
HANNAH YU-RI LEE
Dentist
14300 SE PETROVITSKY RD
RENTON, WA 98058
King County (425) 226-2100
STEVEN C LOCKETT DMD
Dentist (General Practice)
14300 SE PETROVITSKY RD
RENTON, WA 98058
King County (425) 226-2348
DR. CHARLES ROEMER INGLE DDS
Dentist
14300 SE PETROVITSKY RD
RENTON, WA 98058
King County (425) 226-2348

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 Jacy Nelson's NPI number?

The NPI number for Jacy Nelson is 1225015977. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Jacy Nelson located?

Jacy Nelson practices at 14300 SE Petrovitsky Rd, Renton, WA 98058. The listed phone number is (253) 852-0206.

What is Jacy Nelson's specialty?

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

Is Jacy Nelson enrolled in Medicare?

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

What insurance does Jacy Nelson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Jacy 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 Jacy Nelson was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.