JACOB HENRY NELSON DO
NPI 1568920882
Dermatology in Portland, OR

Active since March 05, 2019PECOS Enrolled
3303 S BOND AVE, PORTLAND, OR 97239(360) 831-3123 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 13, 2025, Aug 31, 2022, Apr 8, 2022 and 1 more (4 updates tracked since 2019).

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

NPI1568920882
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJACOB HENRY NELSONCredential: DO
Location Address3303 S BOND AVEPortland, OR 97239-4501
Mailing Address3303 S Bond AvePortland, OR 97239-4501 · (360) 831-3123
Sole ProprietorNo
Enumeration DateMarch 5, 2019
Last NPPES UpdateMarch 13, 20254 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
NPI 1568920882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in OR · DO212889
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0116035953 (VA)
3303 S BOND AVE, Portland, OR 97239

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).

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.

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.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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 20

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

Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Speech-Language Pathologist
3303 S BOND AVE
PORTLAND, OR 97239
Physician Assistant (Surgical)
3303 S BOND AVE
PORTLAND, OR 97239
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Physician Assistant (Medical)
3303 S BOND AVE
PORTLAND, OR 97239
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Psychiatry & Neurology (Neurology)
3303 S BOND AVE
PORTLAND, OR 97239

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.