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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: November 08, 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
Open in Google Maps ↗

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 Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Lance Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lee Health System Inc
1,110 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Lance Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lance Nelson reassigns Medicare benefits to Lee Health System Inc (Fort Myers, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lance Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lance Nelson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers 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 3 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.