DR. JACQUELINE LEE NELSON M.D.
NPI 1548333206
Pediatrics in Fort Washakie, WY

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

Active since November 17, 2006PECOS Enrolled

29 BLACK COAL DR, FORT WASHAKIE, WY 82514(307) 332-7300(307) 332-7464 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Jacqueline Lee Nelson M.d. NPPES

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

DR. JACQUELINE LEE NELSON M.D. (NPI 1548333206) is an individual pediatrics provider in Fort Washakie, Wyoming, licensed in Wyoming (4681A) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548333206

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. JACQUELINE LEE NELSONCredential: M.D.

Location Address29 BLACK COAL DRFort Washakie, WY 82514-0128

Mailing Address29 Black Coal DrFort Washakie, WY 82514-0128 · (307) 332-7300 · Fax (307) 332-7464

Phone(307) 332-7300

Fax(307) 332-7464

Sole ProprietorNo

Enumeration DateNovember 17, 2006

Last NPPES UpdateNovember 17, 2011

✔ NPI 1548333206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WY · 4681A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

29 BLACK COAL DR, Fort Washakie, WY 82514

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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 (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82514 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

$87.12 typical visit price

range $56.42 – $170.72

Typical copayment $21.78 (range $14.10 – $42.68)

Most-billed visit code 99203

Established Patient

$99.46 typical visit price

range $18.19 – $139.32

Typical copayment $24.86 (range $4.54 – $34.83)

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.