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DR. BENJAMIN NELSON M.D.
NPI 1245496520
Pediatrics in Norfolk, VA

Active since August 06, 2008PECOS Enrolled
601 CHILDRENS LN, NORFOLK, VA 23507(757) 668-8177 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 26, 2024, Jan 6, 2022 (2 updates tracked since 2022).

About Dr. Benjamin Nelson M.d. NPPES

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

DR. BENJAMIN NELSON M.D. (NPI 1245496520) is an individual pediatrics provider in Norfolk, Virginia, licensed in Virginia (0101246168) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245496520
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BENJAMIN NELSONCredential: M.D.
Location Address601 CHILDRENS LNNorfolk, VA 23507-1971
Mailing AddressPo Box 11049Norfolk, VA 23517-0049 · (757) 668-8177
Phone(757) 668-8177
Sole ProprietorNo
Enumeration DateAugust 6, 2008
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1245496520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101246168
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
601 CHILDRENS LN, Norfolk, VA 23507
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin 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 Reassignment

Medicare enrollment records show Benjamin Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Specialty Group PLLC
Same address
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007

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 23507 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 20

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

BELINDA JAMES-PETERSEN CPNP
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7240
KELLY PATINO TREJO LCSW
Social Worker (Clinical)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7931
ALIYAH RAYHANAH MOHAMMED MD
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7000
SWETHA MORA M.B.B.S
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7272
KACIE DENISE CARTER CPNP
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-8796
PETER M DOZIER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-8866
STEPHEN C. RESTAINO DO
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7179
MICHAEL LEE SMITH M.D.
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7456

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 Benjamin Nelson's NPI number?

The NPI number for Benjamin Nelson is 1245496520. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is Benjamin Nelson located?

Benjamin Nelson practices at 601 Childrens Ln, Norfolk, VA 23507. The listed phone number is (757) 668-8177.

What is Benjamin Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Benjamin Nelson enrolled in Medicare?

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

Which organization bills Medicare for Benjamin Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Nelson reassigns Medicare benefits to Childrens Specialty Group PLLC (Norfolk, VA). The 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 Benjamin Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Nelson was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.