DESIREE D NELSON
NPI 1417539321
Nurse Practitioner - Family in Newport Beach, CA

Q: What is Desiree Nelson's NPI number?

The NPI number for Desiree Nelson is 1417539321. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Q: What is Desiree Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Desiree Nelson was last updated on July 2, 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.

Active since April 21, 2021PECOS EnrolledAccepts Medicare Assignment

1 HOAG DR BLDG 41, NEWPORT BEACH, CA 92663(612) 968-5490 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2024, Apr 21, 2021 (2 updates tracked since 2021).

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About Desiree D Nelson NPPES

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

DESIREE D NELSON (NPI 1417539321) is an individual family provider in Newport Beach, California, licensed in California (95015738) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417539321

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDESIREE D NELSON

Location Address1 HOAG DR BLDG 41Newport Beach, CA 92663-4162

Mailing Address1 Hoag Dr Bldg 41Newport Beach, CA 92663-4162 · (612) 968-5490

Phone(612) 968-5490

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 21, 2021

Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1417539321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95015738

1 HOAG DR BLDG 41, Newport Beach, CA 92663

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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 and accepts Medicare assignment

Desiree D Nelson 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 ID3072915420

PECOS Enrollment IDI20210708001253

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 3

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.

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.

16 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 18

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

VRAJ SHAH

Physician Assistant