DR. JENNELL E NELSON (MD) – Dermatology Physician, NPI 1366510521
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
471 DERMATOLOGY in VA
Provider Addresses for DR. JENNELL E NELSON (MD)
7371 ATLAS WALK WAY # 645
GAINESVILLE, VA 201552992
Phone: (703) 373-9870
Fax: (703) 656-4777
Type: Mailing
13289 GATEWAY CENTER DR # 27
GAINESVILLE, VA 201552989
Phone: (703) 373-9870
Fax: (703) 656-4777
Type: Location
3300 Gallows Rd
Falls Church, VA 220423300
Phone: (703) 373-9870
Fax: (703) 656-4777
Type: Location
400 Weldon St
Latrobe, PA 156501517
Phone: (855) 337-6669
Fax: (703) 656-4777
Type: Location
7960 DONEGAN DR
SUITE 217
MANASSAS, VA 201098236
Phone: (703) 393-6366
Fax: (703) 656-4777
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-06-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080610000050 | I | Dermatology | VA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20155)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | VA | |
| Internal Medicine | VA | |
| - | VA | |
| Internal Medicine | VA | |
| - | NE | |
| - | VA | |
| Endocrinology, Internal Medicine | VA | |
| Hospitalist, Family Practice | VA | |
| - | VA | |
| - | VA |
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