GABRIELLE KATHERINE NELSON
NPI 1578457735
Dentist in Prince George, VA

Active since June 04, 2025Opted out of Medicare · through Jun 27, 2027
4710 PUDDLEDOCK RD STE 200, PRINCE GEORGE, VA 23875(804) 526-4822 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gabrielle Katherine Nelson NPPES

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

GABRIELLE KATHERINE NELSON (NPI 1578457735) is an individual dentist in Prince George, Virginia, licensed in Virginia (0401419481) and active in the NPI registry since June 2025. She has opted out of Medicare through June 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578457735
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameGABRIELLE KATHERINE NELSON
Location Address4710 PUDDLEDOCK RD STE 200Prince George, VA 23875-1269
Mailing Address5108 Bromley LnRichmond, VA 23226-1535 · (443) 944-7140
Sole ProprietorYes
Enumeration DateJune 4, 2025
NPPES CertifiedJune 4, 2025
NPI 1578457735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in VA · 0401419481
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4710 PUDDLEDOCK RD STE 200, Prince George, VA 23875

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Gabrielle Katherine Nelson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 27, 2025 through June 27, 2027.

Opt-Out Effective DateJune 27, 2025
Opt-Out In Effect ThroughJune 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23875 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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

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

Dentist
4710 PUDDLEDOCK RD STE 200
PRINCE GEORGE, VA 23875

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 Gabrielle Nelson's NPI number?

The NPI number for Gabrielle Nelson is 1578457735. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Where is Gabrielle Nelson located?

Gabrielle Nelson practices at 4710 Puddledock Rd Ste 200, Prince George, VA 23875. The listed phone number is (804) 526-4822.

What is Gabrielle Nelson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Gabrielle Nelson enrolled in Medicare?

No. Gabrielle Nelson has opted out of Medicare through June 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Gabrielle Nelson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana list Gabrielle 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.

When was this NPI record last updated?

The NPPES record for Gabrielle Nelson was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.