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LEAH SIMONE NELSON APRN
NPI 1386252625
Nurse Practitioner - Gerontology in Mckinney, TX

Active since July 22, 2020PECOS EnrolledAccepts Medicare Assignment
8000 ELDORADO PKWY, MCKINNEY, TX 75070(469) 742-9950(972) 548-9005 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leah Simone Nelson Aprn NPPES

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

LEAH SIMONE NELSON APRN (NPI 1386252625) is an individual gerontology provider in Mckinney, Texas, licensed in Texas (1004535) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Lake Pointe, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386252625
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLEAH SIMONE NELSONCredential: APRN
Location Address8000 ELDORADO PKWYMckinney, TX 75070-4136
Mailing Address5750 Claude Dr Apt 2125Plano, TX 75024-5748 · (501) 747-8694
Phone(469) 742-9950
Fax(972) 548-9005
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 22, 2020
NPPES CertifiedJuly 22, 2020
✔ NPI 1386252625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1004535
8000 ELDORADO PKWY, Mckinney, TX 75070
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, 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

Leah Simone Nelson Aprn 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 ID2163831751
PECOS Enrollment IDI20210512000492
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 4

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
53 services48 patients
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.
45 services39 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450890
Location4700 Alliance BoulevardPlano, TX 75093 · Collin County
Emergency services

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75070 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

TALO EMERGENCY PHYSICIANS PLLC
Emergency Medicine (Emergency Medical Services)
8000 ELDORADO PKWY
MCKINNEY, TX 75070
Collin County (972) 569-2700
WESTERN TEXAS EMERGENCY PHYSICIANS PLLC
Emergency Medicine
8000 ELDORADO PKWY
MCKINNEY, TX 75070
Collin County (954) 939-5000
WEST ELDORADO EMERGENCY PHYSICIANS PLLC
Emergency Medicine
8000 ELDORADO PKWY
MCKINNEY, TX 75070
Collin County (972) 569-2700
U S ANESTHESIA PARTNERS OF TEXAS, PA
Pain Medicine (Interventional Pain Medicine)
8000 ELDORADO PKWY, BLDG C, SUITE A
MCKINNEY, TX 75070
Collin County (469) 742-9950
TEXAS UNITED PHYSICIAN GROUP
Emergency Medicine
8000 ELDORADO PKWY
MCKINNEY, TX 75070
Collin County (310) 597-0032
DR. BRITTANY N. MOORE-HYMES DNP, AGPCNP-C
Nurse Practitioner (Adult Health)
8000 ELDORADO PKWY
MCKINNEY, TX 75070
Collin County (469) 742-9950
MR. ROBERT PEGHEBE NURSE PRACTITIONER
Nurse Practitioner (Acute Care)
8000 ELDORADO PKWY
MCKINNEY, TX 75070
Collin County (443) 380-3970
SHERI D LABELLE PT
Physical Therapist
8000 ELDORADO PKWY
MCKINNEY, TX 75070
Collin County (972) 569-2743

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 Leah Nelson's NPI number?

The NPI number for Leah Nelson is 1386252625. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is Leah Nelson located?

Leah Nelson practices at 8000 Eldorado Pkwy, Mckinney, TX 75070. The listed phone number is (469) 742-9950.

What is Leah Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Leah Nelson enrolled in Medicare?

Yes. Leah 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 Leah Nelson accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Molina Healthcare list Leah 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 Leah Nelson affiliated with any hospitals?

According to CMS data, Leah Nelson is affiliated with Baylor Scott And White Medical Center Lake Pointe, Baylor Scott & White Medical Center Plano and Baylor Scott & White Medical Center - Marble Falls.

When was this NPI record last updated?

The NPPES record for Leah Nelson was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.