Grace Isabella Nelson, CPNP-AC in Philadelphia, PA

Grace Isabella Nelson, CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Philadelphia, Pennsylvania. Her current practice location is 3401 Civic Center Blvd, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 590-3535.

Grace Isabella Nelson is licensed to practice in Pennsylvania (license number SP027380) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932759735.

Contact Information

	Grace Isabella Nelson, CPNP-AC
	3401 Civic Center Blvd, Philadelphia, PA 19104-4319
	(215) 590-3535
	(215) 590-3992

Map and Direction

Provider's Profile

Full Name	Grace Isabella Nelson
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3401 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932759735
Provider Enumeration Date: 09/13/2019
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1951727809
Enrollment ID: I20200821002640

Medical Identifiers

Medical identifiers for Grace Isabella Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932759735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	95012476 (California)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	SP027380 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Grace Isabella Nelson allows following entities to bill medicare on her behalf.

Entity Name	Ucsf Pediatrics Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Dept Of Surgery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grace Isabella Nelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Grace Isabella Nelson, CPNP-AC 722 Kenmare Rd, Bala Cynwyd, PA 19004-2110 Ph: (201) 704-8476	Grace Isabella Nelson, CPNP-AC 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (215) 590-3535

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Grace Isabella Nelson, CPNP-AC - Medicare Nurse Practitioner in Philadelphia, PA