NICHOLA SAMANTHA NELSON
NPI 1578137337
Nurse Practitioner in Bethesda, MD

Active since May 17, 2021PECOS EnrolledAccepts Medicare Assignment
73.57/100
CMS Quality Rating
6410 ROCKLEDGE DR, BETHESDA, MD 20817(301) 571-0019(240) 482-0555 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2024, Jan 3, 2023, Sep 14, 2022 and 2 more (5 updates tracked since 2021).

About Nichola Samantha Nelson NPPES

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

NICHOLA SAMANTHA NELSON (NPI 1578137337) is an individual nurse practitioner in Bethesda, Maryland, licensed in Maryland (R208084) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1578137337
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICHOLA SAMANTHA NELSON
Location Address6410 ROCKLEDGE DRBethesda, MD 20817-1809
Mailing Address5606 Fishermens CtClinton, MD 20735-1571 · (470) 643-9928
Fax(240) 482-0555
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 17, 2021
Last NPPES UpdateJuly 17, 20245 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1578137337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R208084
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024181304 (VA)
6410 ROCKLEDGE DR, Bethesda, MD 20817

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Nichola Samantha Nelson 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 ID3971993064
PECOS Enrollment IDI20211203001482, I20241023004580
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 Nichola Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
100 MAPLE AVE E
Vienna, VA 22180
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1669511051 (District of Columbia), NPI 1275097123 (District of Columbia)
  • 2,379 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
229 services135 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services72 patients

Hospital Affiliations CMS Care Compare

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20817 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.58
Promoting Interoperability98
Improvement Activities40
Cost50.92

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.

Occupational Therapist
6410 ROCKLEDGE DR, NRH REGIONAL REHAB - SUITE 600
BETHESDA, MD 20817
Acupuncturist
6410 ROCKLEDGE DR, SUITE 310
BETHESDA, MD 20817
Internal Medicine (Cardiovascular Disease)
6410 ROCKLEDGE DR, STE 200
BETHESDA, MD 20817
Internal Medicine (Medical Oncology)
6410 ROCKLEDGE DR, SUITE 660
BETHESDA, MD 20817
Speech-Language Pathologist
6410 ROCKLEDGE DR, NRH REGIONAL REHAB - SUITE 600
BETHESDA, MD 20817
Specialist/Technologist
6410 ROCKLEDGE DR, NRH REGIONAL REHAB - SUITE 600
BETHESDA, MD 20817
Physical Therapist
6410 ROCKLEDGE DR, NRH REGIONAL REHAB - SUITE 600
BETHESDA, MD 20817
Physical Therapist
6410 ROCKLEDGE DR, SUITE 301
BETHESDA, MD 20817

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 Nichola Nelson's NPI number?

The NPI number for Nichola Nelson is 1578137337. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Nichola Nelson located?

Nichola Nelson practices at 6410 Rockledge Dr, Bethesda, MD 20817. The listed phone number is (301) 571-0019.

What is Nichola Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nichola Nelson enrolled in Medicare?

Yes. Nichola 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 Nichola Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichola Nelson reassigns Medicare benefits to Inova Health Care Services (Vienna, VA). 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 Nichola Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nichola Nelson accept?

Health plans from Oscar Health list Nichola 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 Nichola Nelson affiliated with any hospitals?

According to CMS data, Nichola Nelson is affiliated with Inova Alexandria Hospital.

When was this NPI record last updated?

The NPPES record for Nichola Nelson was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.