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 and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Henry Nelson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacob Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97201
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Jacob Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Nelson reassigns Medicare benefits to University Professional Services (Portland, OR). 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 Jacob Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 19 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.