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YVONNE NELSON M.D.
NPI 1518092055
Family Medicine in Edison, NJ

Active since February 23, 2007PECOS Enrolled
3 LINCOLN HWY, SUITE 101, EDISON, NJ 08820(732) 494-4500(732) 494-2818 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Yvonne Nelson M.d. NPPES

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

YVONNE NELSON M.D. (NPI 1518092055) is an individual family medicine provider in Edison, New Jersey, licensed in New Jersey (25MA08175100) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Rutgers New Jersey Medical School (2003).

NPPES Registry Identity

NPI1518092055
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameYVONNE NELSONCredential: M.D.
Location Address3 LINCOLN HWY, SUITE 101Edison, NJ 08820-3963
Mailing Address3 Lincoln Hwy, Suite 101Edison, NJ 08820-3963 · (732) 494-4500 · Fax (732) 494-2818
Phone(732) 494-4500
Fax(732) 494-2818
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2003
Enumeration DateFebruary 23, 2007
Last NPPES UpdateOctober 23, 2012
✔ NPI 1518092055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA08175100
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3 LINCOLN HWY, Edison, NJ 08820
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Other Identifiers 1

Medicare UPINI71965

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yvonne Nelson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890891667
PECOS Enrollment IDI20070511000170
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 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
202 services121 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
155 services100 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
102 services102 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.
59 services40 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.
53 services46 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
43 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims54 services$6.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

JOSEPH STRAUCH M.D.F.A.A.D.P.A
Specialist
3 LINCOLN HWY, SUITE 305
EDISON, NJ 08820
Middlesex County (732) 549-2448
DR. DAVID K P TAM M.D.
Specialist
3 LINCOLN HWY, SUITE 102
EDISON, NJ 08820
Middlesex County (732) 549-3230

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 Yvonne Nelson's NPI number?

The NPI number for Yvonne Nelson is 1518092055. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Yvonne Nelson located?

Yvonne Nelson practices at 3 Lincoln Hwy Suite 101, Edison, NJ 08820. The listed phone number is (732) 494-4500.

What is Yvonne Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Yvonne Nelson enrolled in Medicare?

Yes. Yvonne Nelson is registered in the Medicare PECOS enrollment system.

What insurance does Yvonne Nelson accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Yvonne 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 Yvonne Nelson affiliated with any hospitals?

According to CMS data, Yvonne Nelson is affiliated with Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Yvonne Nelson was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.