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PHYLLIS NELSON CNP
NPI 1770033599
Nurse Practitioner - Gerontology in West Chester, OH

Active since October 05, 2016PECOS Enrolled
78.78/100
CMS Quality Rating
7690 DISCOVERY DR, WEST CHESTER, OH 45069(513) 475-7630(513) 475-7636 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 8, 2017, Oct 27, 2016 (2 updates tracked since 2016).

About Phyllis Nelson Cnp NPPES

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

PHYLLIS NELSON CNP (NPI 1770033599) is an individual gerontology provider in West Chester, Ohio, licensed in Ohio (020005) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770033599
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NamePHYLLIS NELSONCredential: CNP
Location Address7690 DISCOVERY DRWest Chester, OH 45069-6542
Mailing AddressPo Box 636256, Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5505 · Fax (513) 585-5511
Phone(513) 475-7630
Fax(513) 475-7636
Sole ProprietorYes
Enumeration DateOctober 5, 2016
Last NPPES UpdateJune 8, 20172 updates tracked since enumeration
✔ NPI 1770033599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OH · 020005
7690 DISCOVERY DR, West Chester, OH 45069
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phyllis Nelson Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Phyllis Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Cincinnati Physicians Company, LLC
17 mi
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 125 clinicians in this Medicare group
NPI 1801840434 (513) 584-1000

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
60 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services24 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
22 services22 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45069 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

KRISTEN ELIZABETH TENNEY AGCNS-BC
Colon & Rectal Surgery
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 558-5661
DR. REBECCA JACKSON HOWELL M.D.
Otolaryngology
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-8400
NICOLE STILLS BA, MS
Social Worker (Clinical)
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-7425
DR. NATHAN SHANE D.P.M.
Podiatrist
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-8690
CHARLES R HATTEMER MD
Internal Medicine (Interventional Cardiology)
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-8521
DR. COURTNEY ANN PLATTNER M.D.
Urology
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-8787
CONNIE WAGENKNECHT NP
Nurse Practitioner (Adult Health)
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 458-4850
JASON ERNST
Physician Assistant (Medical)
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-8690

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 Phyllis Nelson's NPI number?

The NPI number for Phyllis Nelson is 1770033599. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Phyllis Nelson located?

Phyllis Nelson practices at 7690 Discovery Dr, West Chester, OH 45069. The listed phone number is (513) 475-7630.

What is Phyllis Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Phyllis Nelson enrolled in Medicare?

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

Which organization bills Medicare for Phyllis Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Nelson reassigns Medicare benefits to University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). 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 Phyllis Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phyllis Nelson accept?

Health plans from CareSource list Phyllis 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 Phyllis Nelson was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.