ROBERT E. NELSON (M.D.) – Psychiatry Physician, NPI 1972696037

ROBERT E. NELSON (M.D.) is a healthcare provider. based in Wyomissing, Pennsylvania. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. MD422537 (PA). The NPI Number for ROBERT E. NELSON (M.D.) is 1972696037

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT E. NELSON (M.D.)
NPI
1972696037
Phone
(610) 378-9601
Address
2201 RIDGEWOOD ROAD
Enumeration Date
2 October 2006
Last Update Date
6 February 2020

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6103789601
Graduation Year
1997 (29 years ago)
PAC ID
5597678896
Group Practice PAC ID
0941398184
Professional Enrollment ID
I20031112000260
Address ID
PA196101193WY2201XRDXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,871 PSYCHIATRY in PA

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Provider Addresses for ROBERT E. NELSON (M.D.)

  • 2201, Ridgewood Road, Wyomissing Hills, Wyomissing, Berks County, Pennsylvania, 19610, United States

    SUITE 400

    WYOMISSING, PA 196106977

    Phone: (610) 378-9601

    Fax: (610) 378-3610

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 934 Open Payments records for all available years, with a total value of $766,753.

Total Amount is formed as General ($766,753) + Research ($0) + Ownership ($0) = $766,753.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($148,917).

Total Amount

$766,753

General + Research + Ownership

Payments

934

Total payment records

General Amount

$766,753

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031112000260IPsychiatryPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes524134$0
View full utilization report →

Insurance plans in this area (ZIP 19610)

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Provider's Procedures

ROBERT E. NELSON (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYPA90792Psychiatric diagnostic evaluation with medical services1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941398184View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Clinical PsychologistPA
Clinical Social WorkerPA
P S Y C H I A T R YPA
Clinical PsychologistPA
P S Y C H I A T R YPA
Clinical PsychologistPA
Clinical PsychologistPA
Clinical Social WorkerPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

Can I verify ROBERT E. NELSON (M.D.) with an NPI only?
You can start verification with NPI 1972696037 for ROBERT E. NELSON (M.D.), then check state licensing separately.
Does the file indicate ROBERT E. NELSON (M.D.) is practicing under active NPI?
Directory data currently reports ROBERT E. NELSON (M.D.) as active.
What is ROBERT E. NELSON (M.D.)'s specialty?
The listing groups ROBERT E. NELSON (M.D.) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What area does ROBERT E. NELSON (M.D.) serve?
ROBERT E. NELSON (M.D.)'s listing highlights Wyomissing, Pennsylvania; more addresses can appear in NPPES.
Why does ROBERT E. NELSON (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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