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Dr. Benjamin Nelson , MD

Pediatrics β€’ Norfolk, VA

Active NPI 1245496520 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

601 Childrens Ln
Norfolk, VA 235071971

Call 7576688177 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

601 Childrens Ln

Norfolk, VA 235071971

Telephone 7576688177
Organization at the Same NPPES Address or Phone
Hague Pharmacy At Chkd Facility NPI 1932676129

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Childrens Specialty Group Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Uniformed Services Uhs Fe Hebert School Of Med

Graduation Year

2008

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Nelson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Nelson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Norfolk and Virginia

146 active clinicians are listed under Pediatrics with a practice address in Norfolk, VA (2,002 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Norfolk

0% of these 146 clinicians have the CMS telehealth indicator.

3.4% of these 146 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES VA 0101246168

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20230501003013

Enrollment State Jurisdiction

VA

PECOS Control ID

6204073224

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Childrens Specialty Group Pllc

601 Childre's Ln, Norfolk, VA 235071910

Phone: 7576687007

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Alice Basinger , MD

Medical Genetics - Clinical Biochemical Genetics

NPI 1790716595

Doctor of Medicine (M.D.)

Dr. Nathan Brakke , MD

Anesthesiology - Pediatric Anesthesiology

NPI 1972716470

Doctor of Medicine (M.D.)

Aimee Byman , PA-C

Physician Assistant

NPI 1073730529

Physician Assistant (Certified)

Dr. James Carmody , MD

Pediatrics - Pediatric Nephrology

NPI 1598927030

Doctor of Medicine (M.D.)

Katherine Carter , CPNP-BC

Nurse Practitioner - Pediatrics

NPI 1215413513

CPNPBC

Kelsey Carter , FNP-C

Nurse Practitioner - Family

NPI 1922624790

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 26, 2024

Registered at 601 CHILDRENS LN, NORFOLK, VA 235071971 (Tel: 7576688177)

πŸ“
Updated Business Mailing Address September 26, 2024

Registered at PO BOX 11049, NORFOLK, VA 235170049 (Tel: 7576688177)

πŸ“
Updated Practice Location January 06, 2022

Registered at 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708 (Tel: 7579537716)

πŸ“
Updated Business Mailing Address January 06, 2022

Registered at 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708 (Tel: 7579537716)

βœ…
NPI Profile Active August 02, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 02, 2011

Registered at 1 BOONE RD, BREMERTON, WA 983121894 (Tel: 3604754351)

πŸ“
Business Mailing Address (Initial Record) August 02, 2011

Registered at 1 BOONE RD, BREMERTON, WA 983121894 (Tel: 3604754351)

πŸ‘€
Provider Name / Credentials (Initial Record) August 02, 2011

Recorded as BENJAMIN NELSON, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2011

Pediatrics (license number reported to NPPES: VA 0101246168)

🟒
Initial NPI Registration & Enumeration August 06, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245496520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2008
Last Update: September 26, 2024
Sole Proprietor: No

Other Pediatrics Specialists in Norfolk

Healthcare providers in Norfolk

Mailing Address

Po Box 11049

Norfolk, VA 235170049

Phone: 7576688177

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.