DR. NELSON JESUS SPINETTI M.D.
NPI 1578639340
Pediatrics - Pediatric Gastroenterology in Edinburg, TX

Q: What is Nelson Spinetti's NPI number?

The NPI number for Nelson Spinetti is 1578639340. It was assigned to this individual provider in the NPPES registry on November 25, 2006.

Q: What is Nelson Spinetti's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Nelson Spinetti was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since November 25, 2006PECOS Enrolled

2707 CORNERSTONE BLVD, EDINBURG, TX 78539(956) 682-2244(956) 682-5544 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Nelson Jesus Spinetti M.d. NPPES

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

DR. NELSON JESUS SPINETTI M.D. (NPI 1578639340) is an individual pediatric gastroenterology provider in Edinburg, Texas, licensed in Texas (L8516) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578639340

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameDR. NELSON JESUS SPINETTICredential: M.D.

Location Address2707 CORNERSTONE BLVDEdinburg, TX 78539-8464

Mailing AddressPo Box 3083Mcallen, TX 78502-3083 · (956) 682-2244 · Fax (956) 682-5544

Phone(956) 682-2244

Fax(956) 682-5544

Sole ProprietorYes

Enumeration DateNovember 25, 2006

Last NPPES UpdateMarch 31, 2011

✔ NPI 1578639340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in TX · L8516

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

2707 CORNERSTONE BLVD, Edinburg, TX 78539

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Other Identifiers 3

Medicare UPINI19335

Medicaid165172102TX

Medicaid192121501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nelson Jesus Spinetti M.d. 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 78539 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES

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

NELSON SPINETTI MD PA

Pediatrics (Pediatric Gastroenterology)

2707 CORNERSTONE BLVD
EDINBURG, TX 78539

Hidalgo County (956) 682-2244

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 Nelson Spinetti's NPI number?

The NPI number for Nelson Spinetti is 1578639340. It was assigned to this individual provider in the NPPES registry on November 25, 2006.

Where is Nelson Spinetti located?

Nelson Spinetti practices at 2707 Cornerstone Blvd, Edinburg, TX 78539. The listed phone number is (956) 682-2244.

What is Nelson Spinetti's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Nelson Spinetti enrolled in Medicare?

Yes. Nelson Spinetti is registered in the Medicare PECOS enrollment system.

What insurance does Nelson Spinetti accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Nelson Spinetti 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 Nelson Spinetti was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.