LAUREN ASHLEY NELSON M.D.
NPI 1619235827
Pediatrics in Pleasanton, CA

Active since April 25, 2012PECOS Enrolled
85.73/100
CMS Quality Rating
5860 OWENS DR, PLEASANTON, CA 94588(252) 240-0770 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lauren Ashley Nelson M.d. NPPES

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

LAUREN ASHLEY NELSON M.D. (NPI 1619235827) is an individual pediatrics provider in Pleasanton, California, licensed in California (A127891) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619235827
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLAUREN ASHLEY NELSONCredential: M.D.
Location Address5860 OWENS DRPleasanton, CA 94588
Mailing Address5860 Owens DrPleasanton, CA 94588-3980 · (925) 224-0770
Sole ProprietorNo
Enumeration DateApril 25, 2012
Last NPPES UpdateAugust 22, 2019
NPI 1619235827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A127891
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5860 OWENS DR, Pleasanton, CA 94588

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lauren Ashley Nelson 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 94588 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

Other Providers at the Same Location NPPES 4

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

Family Medicine
5860 OWENS DR, SUITE 210
PLEASANTON, CA 94588
Internal Medicine
5860 OWENS DR, STE 220
PLEASANTON, CA 94588
Family Medicine
5860 OWENS DR, STE 210
PLEASANTON, CA 94588
Family Medicine
5860 OWENS DR, STE 210
PLEASANTON, CA 94588

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 Lauren Nelson's NPI number?

The NPI number for Lauren Nelson is 1619235827. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Lauren Nelson located?

Lauren Nelson practices at 5860 Owens Dr, Pleasanton, CA 94588. The listed phone number is (252) 240-0770.

What is Lauren Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lauren Nelson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lauren Nelson was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.