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

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: August 16, 2026.

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.

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.

DR. CLARIZA C PASCUAL DMD, RDH
Dental Hygienist
29 BLACK COAL DR
FORT WASHAKIE, WY 82514
Fremont County (307) 335-5958
MS. KASANDRA JO KISTER PA-C
Physician Assistant
29 BLACK COAL DR
FORT WASHAKIE, WY 82514
Fremont County (307) 332-7300
EASTERN SHOSHONE TRIBE
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
29 BLACK COAL DR
FORT WASHAKIE, WY 82514
Fremont County (307) 332-7300
DR. NICHOLAS PATRICK SHERIDAN DDS
Dentist
29 BLACK COAL DR
FT WASHAKIE, WY 82514
Fremont County (307) 335-5959
ROSIE L HUGHES R.N.
Registered Nurse
29 BLACK COAL DR
FORT WASHAKIE, WY 82514
Fremont County (307) 332-7300
RAYMOND ADAMS M.D.
Family Medicine
29 BLACK COAL DR
FORT WASHAKIE, WY 82514
Fremont County (307) 332-7300
MR. ANDREW MARCARELLI
Radiologic Technologist
29 BLACK COAL DR
FT WASHAKIE, WY 82514
Fremont County (307) 332-7300
WIND RIVER SERVICE UNIT IHS
Clinic/Center (Health Service)
29 BLACK COAL DR
FORT WASHAKIE, WY 82514
Fremont County (307) 332-7300

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 Jacqueline Nelson's NPI number?

The NPI number for Jacqueline Nelson is 1548333206. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Jacqueline Nelson located?

Jacqueline Nelson practices at 29 Black Coal Dr, Fort Washakie, WY 82514. The listed phone number is (307) 332-7300.

What is Jacqueline Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacqueline Nelson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Nelson was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.