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DR. NYA DANIELLE NELSON M.D., PH.D.
NPI 1568817211
Pathology - Pediatric Pathology in Philadelphia, PA

Active since May 02, 2016PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD DEPT OF, PHILADELPHIA, PA 19104(267) 426-7949 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nya Danielle Nelson M.d., Ph.d. NPPES

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

DR. NYA DANIELLE NELSON M.D., PH.D. (NPI 1568817211) is an individual pediatric pathology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT211456) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Seattle Children's Hospital, and is a graduate of Baylor College Of Medicine (2015).

NPPES Registry Identity

NPI1568817211
Entity TypeIndividualFemale
Primary Taxonomy207ZP0213X
Provider Legal NameDR. NYA DANIELLE NELSONCredential: M.D., PH.D.
Location Address3401 CIVIC CENTER BLVD DEPT OFPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd Dept OfPhiladelphia, PA 19104-4319 · (267) 426-7949
Phone(267) 426-7949
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2015
Enumeration DateMay 2, 2016
Last NPPES UpdateJune 24, 2020
NPPES CertifiedJune 24, 2020
✔ NPI 1568817211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Pediatric PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0213X
License✔ Licensed in PA · MT211456
Definition
A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.
3401 CIVIC CENTER BLVD DEPT OF, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nya Danielle Nelson M.d., Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618358805
PECOS Enrollment IDI20220719003263
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 Nya Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seattle Children's Hospital
2,375 mi
Specialist
4800 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Seattle Childrens Hospital
  • 912 clinicians in this Medicare group
NPI 1003319500 (206) 987-2000

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

Hospital Affiliations CMS Care Compare

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

Seattle Children's Hospital

Childrens · Seattle, WA
OwnershipVoluntary non-profit - Private
CMS Certification Number503300
Location4800 Sand Point Way NE, PO Box C-5371Seattle, WA 98105 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 9

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

MRS. SHEILA UPADHYAY M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD DEPT OF
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7131
SARA REIS TEIXEIRA MD, PHD
Radiology (Pediatric Radiology)
3401 CIVIC CENTER BLVD DEPT OF
PHILADELPHIA, PA 19104
Philadelphia County (267) 595-5872
DR. JASMINE STEELE MD
Pathology (Anatomic Pathology & Clinical Pathology)
3401 CIVIC CENTER BLVD DEPT OF
PHILADELPHIA, PA 19104
Philadelphia County (267) 426-7789
NADIA MACKENZIE HILL MBBS
Student in an Organized Health Care Education/Training Program
3401 CIVIC CENTER BLVD DEPT OF
PHILADELPHIA, PA 19104
Philadelphia County (267) 425-3377
ASHLEY SLOAN HODGES MD
Anesthesiology (Pediatric Anesthesiology)
3401 CIVIC CENTER BLVD DEPT OF
PHILADELPHIA, PA 19104
Philadelphia County (800) 879-2467
NICHOLAS WILLIAM KIERAN MD
Pediatrics
3401 CIVIC CENTER BLVD DEPT OF
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
CARMEN ROSA CERRON VELA
Radiology (Diagnostic Radiology)
3401 CIVIC CENTER BLVD DEPT OF
PHILADELPHIA, PA 19104
Philadelphia County (484) 472-3300
DR. DANIEL CHARLES WEST M.D.
Pediatrics (Pediatric Hematology-Oncology)
3401 CIVIC CENTER BLVD DEPT OF
PHILADELPHIA, PA 19104
Philadelphia County (530) 574-8304

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 Nya Nelson's NPI number?

The NPI number for Nya Nelson is 1568817211. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Nya Nelson located?

Nya Nelson practices at 3401 Civic Center Blvd Dept Of, Philadelphia, PA 19104. The listed phone number is (267) 426-7949.

What is Nya Nelson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Pediatric Pathology, with taxonomy code 207ZP0213X.

Is Nya Nelson enrolled in Medicare?

Yes. Nya Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nya Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nya Nelson reassigns Medicare benefits to Seattle Children's Hospital (Seattle, WA). 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 Nya Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nya Nelson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Nya 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 Nya Nelson affiliated with any hospitals?

According to CMS data, Nya Nelson is affiliated with Seattle Children's Hospital.

When was this NPI record last updated?

The NPPES record for Nya Nelson was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.