JACOB HENRY NELSON DO
NPI 1568920882
Dermatology in Portland, OR
About Jacob Henry Nelson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB HENRY NELSON DO (NPI 1568920882) is an individual dermatology provider in Portland, Oregon, licensed in Oregon (DO212889) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Henry Nelson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jacob Nelson's NPI number?
The NPI number for Jacob Nelson is 1568920882. It was assigned to this individual provider in the NPPES registry on March 5, 2019.
Where is Jacob Nelson located?
Jacob Nelson practices at 3303 S Bond Ave, Portland, OR 97239. The listed phone number is (360) 831-3123.
What is Jacob Nelson's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Jacob Nelson enrolled in Medicare?
Yes. Jacob Nelson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacob Nelson was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.