NICOLE LYNN NEJEDLY MD
NPI 1902171093
Pediatrics - Pediatric Endocrinology in Norfolk, VA

Active since March 21, 2012PECOS EnrolledAccepts Medicare Assignment
601 CHILDRENS LN, NORFOLK, VA 23507(576) 687-2377 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Lynn Nejedly Md NPPES

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

NICOLE LYNN NEJEDLY MD (NPI 1902171093) is an individual pediatric endocrinology provider in Norfolk, Virginia, licensed in Virginia (0101264111) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Childrens Hospital Of The Kings Daughters Inc, and is a graduate of Washington University School Of Medicine (2012).

NPPES Registry Identity

NPI1902171093
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameNICOLE LYNN NEJEDLYCredential: MD
Location Address601 CHILDRENS LNNorfolk, VA 23507-1910
Mailing Address321 E Main St Unit 402Norfolk, VA 23510-1778 · (708) 278-6987
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2012
Enumeration DateMarch 21, 2012
Last NPPES UpdateJanuary 16, 2019
✔ NPI 1902171093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in VA · 0101264111
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
601 CHILDRENS LN, Norfolk, VA 23507

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

Nicole Lynn Nejedly 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.

PECOS PAC ID5799033866
PECOS Enrollment IDI20180806002425
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 Nicole Nejedly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

OwnershipVoluntary non-profit - Private
CMS Certification Number493301
Location601 Children's LaneNorfolk, VA 23507 · Norfolk City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Social Worker (Clinical)
601 CHILDRENS LN
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Psychiatry & Neurology (Child & Adolescent Psychiatry)
601 CHILDRENS LN
NORFOLK, VA 23507
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507

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 Nicole Nejedly's NPI number?

The NPI number for Nicole Nejedly is 1902171093. It was assigned to this individual provider in the NPPES registry on March 21, 2012.

Where is Nicole Nejedly located?

Nicole Nejedly practices at 601 Childrens Ln, Norfolk, VA 23507. The listed phone number is (576) 687-2377.

What is Nicole Nejedly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Nicole Nejedly enrolled in Medicare?

Yes. Nicole Nejedly 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 Nicole Nejedly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Nejedly reassigns Medicare benefits to Childrens Specialty Group PLLC (Norfolk, VA). 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 Nicole Nejedly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Nejedly affiliated with any hospitals?

According to CMS data, Nicole Nejedly is affiliated with Childrens Hospital Of The Kings Daughters Inc.

When was this NPI record last updated?

The NPPES record for Nicole Nejedly was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.