DR. CHADD DEE NELSON D.O.
NPI 1619904679
Internal Medicine in Randolph Air Force Base, TX

Active since June 27, 2006PECOS Enrolled
221 3RD ST W, RANDOLPH AIR FORCE BASE, TX 78150(210) 652-6403 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1619904679
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHADD DEE NELSONCredential: D.O.
Location Address221 3RD ST WRandolph Air Force Base, TX 78150-4800
Mailing Address1830 N 145th Ave Apt 1001Goodyear, AZ 85395-5402 · (801) 678-8577
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 27, 2006
Last NPPES UpdateSeptember 27, 2022
NPPES CertifiedSeptember 27, 2022
NPI 1619904679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in UT · 285235-1204
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 285235-1204 (UT)
221 3RD ST W, Randolph Air Force Base, TX 78150

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. Chadd Dee Nelson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769488923
PECOS Enrollment IDI20260619001103
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 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.

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 20

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

Pediatrics
221 3RD ST W
RANDOLPH A F B, TX 78150
Nurse Practitioner (Pediatrics)
221 3RD ST W
RANDOLPH AFB, TX 78150
Dentist (General Practice)
221 3RD ST W
RANDOLPH A F B, TX 78150
Pharmacist
221 3RD ST W
RANDOLPH AFB, TX 78150
Social Worker
221 3RD ST W
JBSA RANDOLPH, TX 78150
Social Worker (Clinical)
221 3RD ST W
RANDOLPH AFB, TX 78150
Nurse Practitioner (Acute Care)
221 3RD ST W
RANDOLPH AFB, TX 78150
Physician Assistant
221 3RD ST W
RANDOLPH AFB, TX 78150

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 enrollment system.

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 3 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.