JENNIFER NELSON (MD) – Otolaryngology Physician, NPI 1942439096

JENNIFER NELSON (MD) is a healthcare provider. based in Radford, Virginia. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 0101256585 (VA). The NPI Number for JENNIFER NELSON (MD) is 1942439096

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER NELSON (MD)
NPI
1942439096
Phone
(540) 633-0776
Address
614 E Main St
Enumeration Date
10 July 2009
Last Update Date
4 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5404437400
Graduation Year
2009 (17 years ago)
PAC ID
6103068432
Group Practice PAC ID
6507886231
Professional Enrollment ID
I20141118002150
Address ID
VA240607010BL830XXSTXX301

Contacts

Secure Messaging
JENNIFER.NELSON@hca6.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

309 OTOLARYNGOLOGY in VA

Provider Addresses for JENNIFER NELSON (MD)

  • 614 E Main St

    Radford, VA 241411818

    Phone: (540) 633-0776

    Type: Location

  • 830 Davis St

    SUITE 1

    Blacksburg, VA 240607010

    Phone: (540) 443-7400

    Fax: (540) 552-2720

    Type: Location

  • 830, Davis Street, Myers Acres, Blacksburg, Montgomery County, Virginia, 24060, United States

    SUITE 1

    BLACKSBURG, VA 240607010

    Phone: (540) 443-7400

    Fax: (540) 552-2720

    Type: Mailing

  • 106 WADSWORTH ST

    RADFORD, VA 241411439

    Phone: (540) 639-9023

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $867.

Total Amount is formed as General ($867) + Research ($0) + Ownership ($0) = $867.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($309).

Total Amount

$867

General + Research + Ownership

Payments

32

Total payment records

General Amount

$867

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2014-11-18

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
I20141118002150IOtolaryngologyVATBD

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 minutes321211$0
99214Established patient office or other outpatient visit, 30-39 minutes183139$0
99204New patient office or other outpatient visit, 45-59 minutes8787$0
69210Removal of impacted ear wax8676$0
31575Diagnostic exam of voice box using a flexible endoscope5439$0
View full utilization report →

Insurance plans in this area (ZIP 24141)

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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: 6507886231View full group profile
NameSpecialtyState
Nurse PractitionerVA
P S Y C H I A T R YVA
Nurse PractitionerVA
Physician AssistantTN
Physician AssistantVA
-VA
Family PracticeVA
Nurse PractitionerVA
Family PracticeTN
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)OH

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER NELSON (MD) in U.S. healthcare records?
The official identifier for JENNIFER NELSON (MD) is NPI 1942439096.
Would JENNIFER NELSON (MD) appear as active to a payer?
You can treat JENNIFER NELSON (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JENNIFER NELSON (MD)'s focus?
For JENNIFER NELSON (MD), the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is JENNIFER NELSON (MD) associated with Radford?
Public fields place JENNIFER NELSON (MD) around Radford, Virginia. Always confirm the exact site before visiting.
Does JENNIFER NELSON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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