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MRS. DEBRA KAYE NELSON WHNP
NPI 1245470095
Nurse Practitioner in Houston, TX

Active since March 05, 2009PECOS EnrolledAccepts Medicare Assignment
18220 STATE HIGHWAY 249 STE 200, HOUSTON, TX 77070(281) 890-4448(281) 890-4237 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2018, Sep 1, 2017, Aug 30, 2016 (3 updates tracked since 2016).

About Mrs. Debra Kaye Nelson Whnp NPPES

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

MRS. DEBRA KAYE NELSON WHNP (NPI 1245470095) is an individual nurse practitioner in Houston, Texas, licensed in Texas (AP110119) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1245470095
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. DEBRA KAYE NELSONCredential: WHNP
Location Address18220 STATE HIGHWAY 249 STE 200Houston, TX 77070
Mailing Address18220 State Highway 249 Ste 200Houston, TX 77070-4370 · (281) 890-4448 · Fax (281) 890-4237
Phone(281) 890-4448
Fax(281) 890-4237
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 5, 2009
Last NPPES UpdateDecember 6, 20183 updates tracked since enumeration
✔ NPI 1245470095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in TX · AP110119✔ Licensed in TX · 559134
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

18220 STATE HIGHWAY 249 STE 200, Houston, TX 77070
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Secondary Practice Location 1

Location 118220 Tomball Pkwy, Suite 260Houston, TX 77070-4347 · Phone (281) 890-4448 · Fax (281) 890-4237

Other Identifiers 3

Other8386NWTX · Blue Cross Blue Shield
Medicaid203419103TX
Medicaid203419102TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare.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

Mrs. Debra Kaye Nelson Whnp 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 ID5991852220
PECOS Enrollment IDI20090402000377
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 3

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.
36 services27 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
34 services34 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
28 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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

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

DR. JULIA I ROMERO M.D.
Obstetrics & Gynecology
18220 STATE HIGHWAY 249 STE 200
HOUSTON, TX 77070
Harris County (281) 890-4448

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 Debra Nelson's NPI number?

The NPI number for Debra Nelson is 1245470095. It was assigned to this individual provider in the NPPES registry on March 5, 2009.

Where is Debra Nelson located?

Debra Nelson practices at 18220 State Highway 249 Ste 200, Houston, TX 77070. The listed phone number is (281) 890-4448.

What is Debra Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Debra Nelson enrolled in Medicare?

Yes. Debra 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 Debra Nelson accept?

Health plans from Community Health Choice and Molina Healthcare list Debra 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.

Is Debra Nelson affiliated with any hospitals?

According to CMS data, Debra Nelson is affiliated with Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Debra Nelson was last updated on December 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.