Individual provider Active NPI

Nelson E. Velazquez, DO

  • Dermatology Physician
  • Beckley, WV
National Provider Identifier
1730189747
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1500 Issued in WV
Practice address
94 Brookshire Lane
Beckley, WV 25801-6765
Phone
(304) 252-2673
Fax
(304) 929-2350
NPI assigned
Aug 1, 2005
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1500 WV Primary
Dermatology Physician 207N00000X H82265 MD
Pediatric Dermatology Physician 207NP0225X 1500 WV
MOHS-Micrographic Surgery Physician 207ND0101X 1500 WV
Procedural Dermatology Physician 207NS0135X 1500 WV

Addresses

Primary practice location

94 Brookshire Lane
Beckley, WV 25801-6765

Mailing address

148 Linden Dr Ste 101
Winchester, VA 22601-6902
Phone (540) 504-0066

Other practice location 1

13875 Hedgewood Dr Ste 210
Woodbridge, VA 22193-5922
Phone (703) 657-5551

Other practice location 2

1110 Professional Ct Ste 201
Hagerstown, MD 21740-5945
Phone (240) 707-6920

Other identifiers 3

IdentifierTypeStateIssuer
584137200MedicaidMD
7100218660MedicaidKY
0070083000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20111207000868 WV Practitioner - DermatologyPractitioner - Pathology 6305738972 Reassigns benefits to 1 organization
I20160822001189 MD Practitioner - DermatologyPractitioner - PathologyPractitioner - Micrographic Dermatologic Surgery (MDS) 6305738972 Reassigns benefits to 1 organization
I20251028003916 VA Practitioner - Dermatology 6305738972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

1000 Tavern Rd
Suite 400
Martinsburg, WV 25401-2853
Phone (304) 350-8733

1110 Professional CT
Suite 201
Hagerstown, MD 21740-5945
Phone (240) 707-6920

13875 Hedgewood Dr
Suite 210
Woodbridge, VA 22193-5922
Phone (815) 744-8554

1401 Hospital Dr
Suite 101
Hurricane, WV 25526-9239
Phone (681) 235-7253

150 E 2ND Ave
Williamson, WV 25661-3602
Phone (304) 235-5780

300 Kenton Dr
Suite 2
Charleston, WV 25311-1266
Phone (304) 345-1966

300 Prosperity LN
Suite 207
Logan, WV 25601-3743
Phone (304) 896-9036

94 Brookshire LN
Beckley, WV 25801-6765
Phone (304) 252-2673

974 E Stuart Dr
Suite C
Galax, VA 24333-2412
Phone (276) 238-9902

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions56
Removal of skin cancer127
Removal or shaving of skin growth1-10
Skin biopsy40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H82265MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Pathology CurrentSince May 4, 2013 Accepting new patients
Skin Surgery Center PA Dermatology CurrentSince Aug 23, 2025 Accepting new patients
Skin Surgery Center PA Mohs-Micrographic Surgery CurrentSince Aug 23, 2025 Accepting new patients
Pinnacle Dermatology, SC Dermatology CurrentSince Dec 1, 2022 Accepting new patients
Academic Dermatology,PC Past Accepting new patients
Beckley Dermatology Inc. Dermatology Past Accepting new patients
Hialeah Dermatology and Cosmetic Center LLC Dermatology PastSince Jan 8, 2007 Accepting new patients
Beckley Dermatology Inc. Dermatology Past Accepting new patients
Beckley Dermatology Inc. Dermatology Past Accepting new patients
Beckley Dermatology Inc. Dermatology Past Accepting new patients
Beckley Dermatology Inc. Dermatology Past Accepting new patients
Beckley Dermatology Inc. Dermatology Past Accepting new patients
Beckley Dermatology Inc. Dermatology Past Accepting new patients

Locations

1110 Professional Ct
Ste 201
Hagerstown, MD 21740
Phone (240) 707-6920

974 E Stuart Dr
Ste C
Galax, VA 24333
Phone (276) 238-9902

312 Fairy Street Ext
Ste 201
Martinsville, VA 24112
Phone (276) 632-6496

136 Linden Dr
Ste 104
Winchester, VA 22601

148 Linden Dr
Ste 101
Winchester, VA 22601
Phone (540) 504-0066

13875 Hedgewood Dr
Ste 210
Woodbridge, VA 22193
Phone (703) 434-3633

1982 Opitz Blvd
Woodbridge, VA 22191
Phone (540) 373-6647

94 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-2673

300 Kenton Dr
Ste 2
Charleston, WV 25311
Phone (304) 345-1966

1401 Hospital Dr
Ste 101
Hurricane, WV 25526
Phone (304) 757-6891

300 Prosperity Ln
Ste 207
Logan, WV 25601
Phone (304) 752-8202

1000 Tavern Rd
Ste 400
Martinsburg, WV 25401
Phone (304) 350-8733

144 Springhaven Dr
Ste 101
Princeton, WV 24740
Phone (304) 487-9100

508 New Hope Rd
Ste 102
Princeton, WV 24740
Phone (304) 487-9100

150 E 2nd Ave
Williamson, WV 25661
Phone (304) 235-5780

Interoperability endpoints

  • Direct secure messaging: nelson.velazquez@qdp.emadirect.md
  • Direct secure messaging: nvelazquez@pinnacleskin.emadirect.md

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1730189747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINDEN DR STE 101",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016902",
            "telephone_number": "540-504-0066",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BROOKSHIRE LANE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016765",
            "telephone_number": "304-252-2673",
            "fax_number": "304-929-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13875 Hedgewood Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221935922",
            "country_code": "US",
            "telephone_number": "703-657-5551",
            "fax_number": "540-930-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Professional Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405945",
            "country_code": "US",
            "telephone_number": "240-707-6920",
            "fax_number": "240-707-6926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "NELSON",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "1500",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "H82265",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "WV",
            "license": "1500",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WV",
            "license": "1500",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "WV",
            "license": "1500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584137200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100218660",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070083000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.