BRETT PATRICK NELSON MD
NPI 1700415049
Family Medicine in Berwyn, IL
About Brett Patrick Nelson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRETT PATRICK NELSON MD (NPI 1700415049) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (125076826) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Brett Patrick Nelson Md 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 Reassignment
Medicare enrollment records show Brett Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1982863783 (California)
- 5,228 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 60402 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.
BERWYN, IL 60402
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 Brett Nelson's NPI number?
The NPI number for Brett Nelson is 1700415049. It was assigned to this individual provider in the NPPES registry on April 8, 2020.
Where is Brett Nelson located?
Brett Nelson practices at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 783-9100.
What is Brett Nelson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brett Nelson enrolled in Medicare?
Yes. Brett 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 organization bills Medicare for Brett Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brett Nelson reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The 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 Brett Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brett Nelson was last updated on October 27, 2023. 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.
# Brett Patrick Nelson, MD · NPI 1700415049
Family Medicine physician in Berwyn, Illinois. Individual provider, active in the CMS NPPES registry since April 8, 2020.
## Identity
- **NPI:** 1700415049 (Entity type: Individual)
- **Enumerated:** April 8, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 125076826 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3249 OAK PARK AVE, Berwyn, IL 60402-3429
- **Phone:** (708) 783-9100
## 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:** Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** R Franklin University Of Med & Sci/chicago Medical School, class of 2020
## Record status
- **NPPES last updated:** October 27, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1700415049) · Data from the CMS NPPES public registry.