DR. CHADD DEE NELSON D.O.
NPI 1619904679
Internal Medicine in Randolph Air Force Base, TX
About Dr. Chadd Dee Nelson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHADD DEE NELSON D.O. (NPI 1619904679) is an individual internal medicine provider in Randolph Air Force Base, Texas, licensed in Utah (285235-1204) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Chadd Dee Nelson D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Chadd Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dennehotso, AZ 86535
- Reassigned Medicare billing, Texas enrollment
- 215 clinicians in this Medicare group
Flagstaff, AZ 86004
- Reassigned Medicare billing, Arizona enrollment
- 22 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Chadd Nelson's NPI number?
The NPI number for Chadd Nelson is 1619904679. It was assigned to this individual provider in the NPPES registry on June 27, 2006.
Where is Chadd Nelson located?
Chadd Nelson practices at 221 3rd St W, Randolph Air Force Base, TX 78150. The listed phone number is (210) 652-6403.
What is Chadd Nelson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Chadd Nelson enrolled in Medicare?
Yes. Chadd 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 organizations bill Medicare for Chadd Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chadd Nelson reassigns Medicare benefits to 2 organizations: Kayenta Alternative Rural Hospital (Dennehotso, AZ) and Native Americans For Community Action, Inc (Flagstaff, AZ). Each 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 Chadd Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chadd Nelson accept?
Health plans from Blue Cross Blue Shield of Arizona list Chadd 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 Chadd Nelson was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Chadd Dee Nelson, D.O. · NPI 1619904679
Internal Medicine physician in Randolph Air Force Base, Texas. Individual provider, active in the CMS NPPES registry since June 27, 2006.
## Identity
- **NPI:** 1619904679 (Entity type: Individual)
- **Enumerated:** June 27, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 285235-1204 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 221 3RD ST W, Randolph Air Force Base, TX 78150-4800
- **Phone:** (210) 652-6403
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kayenta Alternative Rural Hospital (NPI 1821167297, Dennehotso, AZ); Native Americans For Community Action, Inc (NPI 1053326751, Flagstaff, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** September 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619904679) · Data from the CMS NPPES public registry.