Jennell E Nelson, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101228762 Issued in VA

Practice address

13289 Gateway Center Dr # 27
Gainesville, VA 20155-2989

Phone

(703) 373-9870

Fax

(703) 656-4777

NPI assigned

Dec 4, 2006

Last updated

Feb 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bayview Physician Services, PC

  • Family Medicine Physician
  • Chesapeake, VA
  • NPI 1508813387
  Medicare reassignment NPD
• Nelson Dermatology, PLLC

  dba Nelson Derm at Salon Lofts

  • Dermatology Physician
  • Gainesville, VA
  • NPI 1992005375
  Authorized official Same address or phone
• Bayview Physician Services, PC

  dba LMC Radiology

  • Radiology Clinic/Center
  • Suffolk, VA
  • NPI 1699865626
  NPD
• Nova Medical and Urgent Care Center, Inc.

  dba Nova Medical Group, Nova Urgent Care

  • Family Medicine Physician
  • Ashburn, VA
  • NPI 1588683742
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1366510521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7371 ATLAS WALK WAY # 645",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552992",
            "telephone_number": "703-373-9870",
            "fax_number": "703-656-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13289 GATEWAY CENTER DR # 27",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552989",
            "telephone_number": "703-373-9870",
            "fax_number": "703-656-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Weldon St",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "156501517",
            "country_code": "US",
            "telephone_number": "855-337-6669",
            "fax_number": "703-656-4777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423300",
            "country_code": "US",
            "telephone_number": "703-373-9870",
            "fax_number": "703-656-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JENNELL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101228762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Brooke Nebel
• Neibauer Dental Care, PC (Gainesville Smiles Dental Care)
• Meghan Morrell Neil, PA-C
• Diana Nelsen, RN BSN
• Nelson Dermatology, PLLC (Nelson Derm at Salon Lofts)
• Netlands Healthcare Services Inc
• New Vision Transportation LLC
• Iris Y Newsome-Randall, FNP
• Winifred Ngeh
• Emerald Nguyen

• Dermatology Physician in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.