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RAOUL DEVIN NELSON
NPI 1972682540
Pediatrics - Pediatric Nephrology in Salt Lake City, UT

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 587-7575 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raoul Devin Nelson NPPES

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

RAOUL DEVIN NELSON (NPI 1972682540) is an individual pediatric nephrology provider in Salt Lake City, Utah, licensed in Utah (177029-1205) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Primary Children's Hospital, and is a graduate of Washington University School Of Medicine (1986).

NPPES Registry Identity

NPI1972682540
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameRAOUL DEVIN NELSON
Location Address100 MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 413021Salt Lake City, UT 84141-3021 · (801) 213-3900
Phone(801) 587-7575
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1986
Enumeration DateNovember 3, 2006
Last NPPES UpdateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
✔ NPI 1972682540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in UT · 177029-1205
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
100 MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raoul Devin Nelson 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 ID6002863982
PECOS Enrollment IDI20050402000004
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.

Hospital Affiliations CMS Care Compare

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

Primary Children's Hospital

Childrens · Salt Lake City, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number463301
Location100 North Mario Capecchi DriveSalt Lake City, UT 84113 · Salt Lake County
Emergency services

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.

KAITLIN CARPENTER
Pediatrics
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
DR. NICOLE JEFFREYS MD
Anesthesiology (Pediatric Anesthesiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3578
SARAH ZOBELL NP
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1619
MRS. GIOVANA MARTENDAL KING NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4100
DR. STEVEN SHI-FONG WU
Pediatrics (Pediatric Gastroenterology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2900
KRISTA SKYE VIAU MS, RD, CSP, CD
Dietitian, Registered (Nutrition, Metabolic)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-9590
DR. ANDREW GERALD SMITH M.D.
Pediatrics (Pediatric Critical Care Medicine)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3673
MARY HUNT MARTIN MD
Pediatrics (Pediatric Cardiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5400

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 Raoul Nelson's NPI number?

The NPI number for Raoul Nelson is 1972682540. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Raoul Nelson located?

Raoul Nelson practices at 100 Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 587-7575.

What is Raoul Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Raoul Nelson enrolled in Medicare?

Yes. Raoul 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.

What insurance does Raoul Nelson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Raoul 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.

Is Raoul Nelson affiliated with any hospitals?

According to CMS data, Raoul Nelson is affiliated with Primary Children's Hospital.

When was this NPI record last updated?

The NPPES record for Raoul Nelson was last updated on November 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.