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HELEN NELSON PA-C
NPI 1497181481
Physician Assistant in Norfolk, VA

Active since September 23, 2013PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
830 KEMPSVILLE RD RM 2B223, NORFOLK, VA 23502(757) 261-8860(757) 689-2420 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Helen Nelson Pa-c NPPES

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

HELEN NELSON PA-C (NPI 1497181481) is an individual physician assistant in Norfolk, Virginia, licensed in Virginia (0110004331) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Sentara Leigh Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1497181481
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHELEN NELSONCredential: PA-C
Location Address830 KEMPSVILLE RD RM 2B223Norfolk, VA 23502-3920
Mailing Address830 Kempsville Rd Rm 2b223Norfolk, VA 23502-3920 · (757) 261-8860 · Fax (757) 689-2420
Phone(757) 261-8860
Fax(757) 689-2420
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 23, 2013
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1497181481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110004331
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
830 KEMPSVILLE RD RM 2B223, Norfolk, VA 23502
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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

Helen Nelson Pa-c 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 ID42446163
PECOS Enrollment IDI20131120000941
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
92 services63 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
68 services64 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

MELANIE RAE DE JESUS NP
Nurse Practitioner (Family)
830 KEMPSVILLE RD RM 2B223
NORFOLK, VA 23502
Norfolk City (757) 261-8860
MRS. SONIA DEMETRIS WALKER WHNP
Nurse Practitioner (Family)
830 KEMPSVILLE RD RM 2B223
NORFOLK, VA 23502
Norfolk City (757) 261-8860
MARY ELIZABETH CARR FNP
Nurse Practitioner (Family)
830 KEMPSVILLE RD RM 2B223
NORFOLK, VA 23502
Norfolk City (757) 261-8860
MARIA RAMOS PINEDA NP
Nurse Practitioner (Gerontology)
830 KEMPSVILLE RD RM 2B223
NORFOLK, VA 23502
Norfolk City (757) 261-8860

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 Helen Nelson's NPI number?

The NPI number for Helen Nelson is 1497181481. It was assigned to this individual provider in the NPPES registry on September 23, 2013.

Where is Helen Nelson located?

Helen Nelson practices at 830 Kempsville Rd Rm 2b223, Norfolk, VA 23502. The listed phone number is (757) 261-8860.

What is Helen Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Helen Nelson enrolled in Medicare?

Yes. Helen 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.

Is Helen Nelson affiliated with any hospitals?

According to CMS data, Helen Nelson is affiliated with Sentara Leigh Hospital.

When was this NPI record last updated?

The NPPES record for Helen Nelson was last updated on December 29, 2023. 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.