LORETTA R NELSON MD
NPI 1437269560
Pediatrics in Kansas City, KS
About Loretta R Nelson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORETTA R NELSON MD (NPI 1437269560) is an individual pediatrics provider in Kansas City, Kansas, licensed in Kansas (04-22696) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Loretta R Nelson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Loretta Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kansas City, KS 66160
- Reassigned Medicare billing, Kansas enrollment
- 2,139 clinicians in this Medicare group
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 66160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
KANSAS CITY, KS 66160
KANSAS CITY, KS 66160
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 Loretta Nelson's NPI number?
The NPI number for Loretta Nelson is 1437269560. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Loretta Nelson located?
Loretta Nelson practices at 3901 Rainbow Blvd 2026 Miller Mail Stop 4004, Kansas City, KS 66160. The listed phone number is (913) 588-6301.
What is Loretta Nelson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Loretta Nelson enrolled in Medicare?
Yes. Loretta Nelson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Loretta Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Loretta Nelson reassigns Medicare benefits to Kansas University Physicians Inc (Kansas City, KS). 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 Loretta Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Loretta Nelson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company and UnitedHealthcare list Loretta 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 Loretta Nelson was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.