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LANCE RONALD NELSON M.D.
NPI 1568813269
Pediatrics - Adolescent Medicine in Chicago, IL

Active since June 24, 2016PECOS Enrolled
1440 N DAYTON ST, CHICAGO, IL 60642(319) 384-7888(319) 384-7899 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 16, 2026, Nov 19, 2025, May 1, 2024 and 1 more (4 updates tracked since 2016).

About Lance Ronald Nelson M.d. NPPES

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

LANCE RONALD NELSON M.D. (NPI 1568813269) is an individual adolescent medicine provider in Chicago, Illinois, licensed in Illinois (036.160891) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Myers, and is a graduate of Michigan State University College Of Human Medicine (2016).

NPPES Registry Identity

NPI1568813269
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameLANCE RONALD NELSONCredential: M.D.
Location Address1440 N DAYTON STChicago, IL 60642-2644
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6788 · Fax (239) 343-4180
Phone(319) 384-7888
Fax(319) 384-7899
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2016
Enumeration DateJune 24, 2016
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1568813269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses✔ Licensed in IL · 036.160891✔ Licensed in FL · ME175958
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1440 N DAYTON ST, Chicago, IL 60642
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Secondary Practice Location 1

Location 19671 Gladiolus Dr Ste 109Fort Myers, FL 33908-7684 · Phone (239) 343-6788 · Fax (239) 343-4180

Other Identifiers 1

Medicaid128758300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

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

PECOS PAC ID749778918
PECOS Enrollment IDI20251021000335
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.

Other Providers at the Same Location NPPES 8

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

ABENA OWUSU
Student in an Organized Health Care Education/Training Program
1440 N DAYTON ST
CHICAGO, IL 60642
Cook County (800) 543-7362
BROOKE ALEXIS INGRAHAM
Social Worker (Clinical)
1440 N DAYTON ST
CHICAGO, IL 60642
Cook County (312) 227-0340
LURIE CHILDREN'S ADOLESCENT SUBSTANCE ABUSE AND PREVENTION PROGARM
Clinic/Center (Rehabilitation, Substance Use Disorder)
1440 N DAYTON ST
CHICAGO, IL 60642
Cook County (312) 227-4000
DR. ERIC ALEXANDER PEIST PHD
Psychologist (Clinical)
1440 N DAYTON ST
CHICAGO, IL 60642
Cook County (312) 227-0824
NICOLE WILLIAMS APRN-NP
Nurse Practitioner (Pediatrics)
1440 N DAYTON ST
CHICAGO, IL 60642
Cook County (312) 227-6800
DR. JENNIFER PETERSON PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1440 N DAYTON ST
CHICAGO, IL 60642
Cook County (312) 227-4000
BAILEY JAEGER LSW
Social Worker (Clinical)
1440 N DAYTON ST
CHICAGO, IL 60642
Cook County (312) 227-5520
DR. BENJAMIN PARCHEM PHD
Psychologist (Clinical Child & Adolescent)
1440 N DAYTON ST
CHICAGO, IL 60642
Cook County (312) 227-5096

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 Lance Nelson's NPI number?

The NPI number for Lance Nelson is 1568813269. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Lance Nelson located?

Lance Nelson practices at 1440 N Dayton St, Chicago, IL 60642. The listed phone number is (319) 384-7888.

What is Lance Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Lance Nelson enrolled in Medicare?

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

What insurance does Lance Nelson accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lance 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 Lance Nelson was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.