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LESLIE WILMOT NELSON MD PA
NPI 1710004551
Internal Medicine in Arlington, TX

Active since March 26, 2007
909 MEDICAL CENTRE DR, STE A, ARLINGTON, TX 76012(817) 274-5580(817) 274-5540 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Leslie Wilmot Nelson Md Pa NPPES

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

LESLIE WILMOT NELSON MD PA (NPI 1710004551) is a healthcare organization registered as an internal medicine in Arlington, Texas and active in the NPI registry since March 2007. The organization lists Lesile Wilmot Nelson, Executive President, as its authorized official.

NPPES Registry Identity

NPI1710004551
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLESLIE WILMOT NELSON MD PA
Location Address909 MEDICAL CENTRE DR, STE AArlington, TX 76012-4757
Mailing Address2803 Riverside Dr, #1905Grand Prairie, TX 75050-7820 · (817) 274-5580 · Fax (817) 633-8229
Phone(817) 274-5580
Fax(817) 274-5540
Organization SubpartNo
Authorized OfficialLesile Wilmot NelsonExecutive President · (817) 548-6648
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710004551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · L9825
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.
909 MEDICAL CENTRE DR, Arlington, TX 76012
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie Wilmot Nelson Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20070510000218Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leslie Wilmot Nelson MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Leslie Nelson, MD
Internal Medicine
NPI 1700826088
2505 BOLTON BOONE DR SUITE 107
Desoto, TX 75115
(469) 759-2323
✔ PECOS16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Leslie Wilmot Nelson MD PA's NPI number?

The NPI number for Leslie Wilmot Nelson MD PA is 1710004551. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Leslie Wilmot Nelson MD PA located?

Leslie Wilmot Nelson MD PA is located at 909 Medical Centre Dr Ste A, Arlington, TX 76012. The listed phone number is (817) 274-5580.

What is Leslie Wilmot Nelson MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Leslie Wilmot Nelson MD PA enrolled in Medicare?

Yes. Leslie Wilmot Nelson MD PA is registered in the Medicare PECOS enrollment system.

When is Leslie Wilmot Nelson MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Leslie Wilmot Nelson MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Leslie Wilmot Nelson MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Leslie Wilmot Nelson MD PA accept?

Health plans from Molina Healthcare list Leslie Wilmot Nelson MD PA 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 Leslie Wilmot Nelson MD PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.