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DR. JESSIE MARIE NELSON MD, MS
NPI 1730936253
General Practice in Detroit, MI

Active since May 02, 2024PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-1032 Get Directions Write a Review

NPPES record last updated: December 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 28, 2025, Jun 30, 2025, May 2, 2024 (3 updates tracked since 2024).

About Dr. Jessie Marie Nelson Md, Ms NPPES

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

DR. JESSIE MARIE NELSON MD, MS (NPI 1730936253) is an individual general practice provider in Detroit, Michigan, licensed in Michigan (4351052706) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730936253
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. JESSIE MARIE NELSONCredential: MD, MS
Location Address2799 W GRAND BLVDDetroit, MI 48202-2689
Mailing Address2799 W Grand BlvdDetroit, MI 48202-2689 · (313) 916-1032
Phone(313) 916-1032
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 2, 2024
Last NPPES UpdateDecember 28, 20253 updates tracked since enumeration
NPPES CertifiedDecember 28, 2025
✔ NPI 1730936253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 4351052706
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351052706 (MI)
2799 W GRAND BLVD, Detroit, MI 48202
Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 E. Medical Center Drive, SPC 5332, Taubman Center, 2nd Floor, Reception FAnn Arbor, MI 48109-5332 · Phone (734) 936-5738 · Fax (734) 936-6927

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessie Marie Nelson Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719328640
PECOS Enrollment IDI20260601001296
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessie Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
994 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

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.

HENRY FORD HOSPITAL
General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. BRENT DAVID GRIFFITH M.D.
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KANIKA KHANNA M.D
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. FADL A CHOKR M.D.
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
AVI COHEN M.D.
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
LINDSEY AURORA
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KYLE KRUPA
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
ALEXANDER GARBARINO
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600

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 Jessie Nelson's NPI number?

The NPI number for Jessie Nelson is 1730936253. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Where is Jessie Nelson located?

Jessie Nelson practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-1032.

What is Jessie Nelson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jessie Nelson enrolled in Medicare?

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

Which organization bills Medicare for Jessie Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Nelson reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Jessie 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 Jessie Nelson was last updated on December 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.