DR. BRENDA LEE NELSON DDS
NPI 1275503625
Dentist - Oral and Maxillofacial Pathology in San Diego, CA

Active since January 26, 2006Opted out of Medicare · through Jan 24, 2028
6727 FLANDERS DRIVE STE 101, SAN DIEGO, CA 92121(858) 784-0600 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brenda Lee Nelson Dds NPPES

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

DR. BRENDA LEE NELSON DDS (NPI 1275503625) is an individual oral and maxillofacial pathology provider in San Diego, California, licensed in California (DDS105643) and active in the NPI registry since January 2006. She has opted out of Medicare through January 24, 2028.

NPPES Registry Identity

NPI1275503625
Entity TypeIndividualFemale
Primary Taxonomy1223P0106X
Provider Legal NameDR. BRENDA LEE NELSONCredential: DDS
Location Address6727 FLANDERS DRIVE STE 101San Diego, CA 92121
Mailing Address20436 Sunbright LaneGermantown, MD 20874 · (301) 515-1616
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJune 3, 2021
NPPES CertifiedJune 3, 2021
NPI 1275503625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
Licenses Licensed in CA · DDS105643 Licensed in MN · D10998
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
6727 FLANDERS DRIVE STE 101, San Diego, CA 92121

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Brenda Lee Nelson Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 24, 2022 through January 24, 2028.

Opt-Out Effective DateJanuary 24, 2022
Opt-Out In Effect ThroughJanuary 24, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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 Brenda Nelson's NPI number?

The NPI number for Brenda Nelson is 1275503625. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Brenda Nelson located?

Brenda Nelson practices at 6727 Flanders Drive Ste 101, San Diego, CA 92121. The listed phone number is (858) 784-0600.

What is Brenda Nelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Brenda Nelson enrolled in Medicare?

No. Brenda Nelson has opted out of Medicare through January 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brenda Nelson was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.