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ANN NELSON M.D.
NPI 1265605935
Pediatrics in Cincinnati, OH

Active since April 02, 2008PECOS Enrolled
7810 5 MILE RD, CINCINNATI, OH 45230(513) 246-7000(513) 246-2876 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ann Nelson M.d. NPPES

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

ANN NELSON M.D. (NPI 1265605935) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35.071733) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265605935
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANN NELSONCredential: M.D.
Location Address7810 5 MILE RDCincinnati, OH 45230-2356
Mailing Address4600 Wesley Ave, NCincinnati, OH 45212-2298 · (513) 246-7796 · Fax (513) 246-7855
Phone(513) 246-7000
Fax(513) 246-2876
Sole ProprietorNo
Enumeration DateApril 2, 2008
Last NPPES UpdateMarch 27, 2013
✔ NPI 1265605935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.071733
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.
7810 5 MILE RD, Cincinnati, OH 45230
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ann 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 Ann Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trihealth G LLC
9.7 mi
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000

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 45230 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

DR. GINA CURRY M.D.
Internal Medicine
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000
DR. MARYBETH BRUNE MD
Internal Medicine
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000
DR. KELLY SUE PRINDLE DO
Family Medicine
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000
DANIEL L. DOWNING CNP
Nurse Practitioner (Family)
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000
ALEX NEWTON PALUMBO M.S., M.D
Internal Medicine
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000
MARY THERESA ZUPAN
Social Worker
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000
AMANDA HOLLOWAY NP
Nurse Practitioner (Family)
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 853-9250
JILONDA J WILCOX
Audiologist
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000

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 Ann Nelson's NPI number?

The NPI number for Ann Nelson is 1265605935. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Where is Ann Nelson located?

Ann Nelson practices at 7810 5 Mile Rd, Cincinnati, OH 45230. The listed phone number is (513) 246-7000.

What is Ann Nelson's specialty?

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

Is Ann Nelson enrolled in Medicare?

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

Which organization bills Medicare for Ann Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ann Nelson reassigns Medicare benefits to Trihealth G LLC (Cincinnati, OH). 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 Ann Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ann Nelson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Ann 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 Ann Nelson was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.