DR. CHARLES PETER NELSON MD
NPI 1366232746
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Charles Nelson's NPI number?

The NPI number for Charles Nelson is 1366232746. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Q: What is Charles Nelson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Nelson was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 08, 2025PECOS Enrolled

5841 S MARYLAND AVE # 4028, CHICAGO, IL 60637(773) 702-6842(773) 834-0063 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2026, May 8, 2025 (2 updates tracked since 2025).

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About Dr. Charles Peter Nelson Md NPPES

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

DR. CHARLES PETER NELSON MD (NPI 1366232746) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366232746

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. CHARLES PETER NELSONCredential: MD

Location Address5841 S MARYLAND AVE # 4028Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-4503 · (773) 702-1150

Phone(773) 702-6842

Fax(773) 834-0063

Sole ProprietorNo

Enumeration DateMay 8, 2025

Last NPPES UpdateApril 30, 20262 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1366232746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5841 S MARYLAND AVE # 4028, Chicago, IL 60637

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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. Charles Peter Nelson Md 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.

Other Providers at the Same Location NPPES 6

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

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