ROBERT E. NELSON M.D.
NPI 1972696037
Psychiatry & Neurology - Psychiatry in Wyomissing, PA

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
2201 RIDGEWOOD ROAD, SUITE 400, WYOMISSING, PA 19610(610) 378-9601(610) 378-3610 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert E. Nelson M.d. NPPES

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

ROBERT E. NELSON M.D. (NPI 1972696037) is an individual psychiatry provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD422537) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Duke University School Of Medicine (1997).

NPPES Registry Identity

NPI1972696037
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameROBERT E. NELSONCredential: M.D.
Location Address2201 RIDGEWOOD ROAD, SUITE 400Wyomissing, PA 19610-6977
Mailing Address2201 Ridgewood Road, Suite 400Wyomissing, PA 19610-6977 · (610) 378-9601 · Fax (610) 378-3610
Fax(610) 378-3610
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 1997
Enumeration DateOctober 2, 2006
Last NPPES UpdateFebruary 6, 2020
NPI 1972696037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in PA · MD422537
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License MD422537 (PA)
Also ListedSpecialistTaxonomy 174400000X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
2201 RIDGEWOOD ROAD, Wyomissing, PA 19610

Accepted 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

Robert E. Nelson M.d. 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 ID5597678896
PECOS Enrollment IDI20031112000260
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.

Areas of Expertise CMS Part B claims

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.

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.
514 services144 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2201 RIDGEWOOD ROAD, SUITE 400
WYOMISSING, PA 19610
Psychologist (Cognitive & Behavioral)
2201 RIDGEWOOD ROAD, SUITE 400
WYOMISSING, PA 19610
Psychologist (Counseling)
2201 RIDGEWOOD ROAD, SUITE 400
WYOMISSING, PA 19610
Specialist
2201 RIDGEWOOD ROAD, SUITE 400
WYOMISSING, PA 19610
Orthopaedic Surgery
2201 RIDGEWOOD ROAD, SUITE 160
WYOMISSING, PA 19610
Social Worker (Clinical)
2201 RIDGEWOOD ROAD, SUITE 400
WYOMISSING, PA 19610
Psychologist (Clinical)
2201 RIDGEWOOD ROAD, SUITE 400
WYOMISSING, PA 19610

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 Robert Nelson's NPI number?

The NPI number for Robert Nelson is 1972696037. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Robert Nelson located?

Robert Nelson practices at 2201 Ridgewood Road Suite 400, Wyomissing, PA 19610. The listed phone number is (610) 378-9601.

What is Robert Nelson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Robert Nelson enrolled in Medicare?

Yes. Robert 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 Robert Nelson accept?

Health plans from Providence Health Plan list Robert 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 Robert Nelson affiliated with any hospitals?

According to CMS data, Robert Nelson is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Robert Nelson was last updated on February 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.