Jennell E Nelson


Address: 7960 Donegan Dr, Suite 217, Manassas, VA 20109-8236

Jennell E Nelson (NPI# 1366510521, PAC ID# 5395815807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1366510521
PAC ID by PECOS 5395815807
Professional Enrollment ID I20080610000050
Full Name Jennell E Nelson
Address 7960 Donegan Dr
Suite 217
Manassas
VA 20109-8236
Gender F
Medical School MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year 1996
Primary Specialty DERMATOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490063 INOVA FAIRFAX HOSPITAL

Other Locations

Address Phone Organization
3300 Gallows Rd, Falls Church, VA 22042-3307
7960 Donegan Dr, Suite 217, Manassas, VA 20109-8236

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 7960 DONEGAN DR
SUITE 217
City MANASSAS
State VA
Zip 20109-8236

Physicians in the same location

Name Specialty Organization Address
Raul B Aguilar Physical Therapy 7960 Donegan Dr, Suite 233, Manassas, VA 20109-8236

Physicians in the same zip code

Name Specialty Organization Address
Nanette Mary Blinkovitch Hoback Clinical Social Worker 7502 Diplomat Dr, Suite 101, Manassas, VA 20109-2508
James G Binning Chiropractic 7513 Presidential Ln, Manassas, VA 20109-2628
Elisabeth Kim Physical Therapy Professional Sportscare and Rehab LLC 11662 Sudley Manor Dr, 50b, Manassas, VA 20109-2842
Lyusyena Teper Physical Therapy Professional Sportscare and Rehab LLC 11662 Sudley Manor Dr, Manassas, VA 20109-2842
Lucie Horn Physical Therapy Professional Sportscare and Rehab LLC 11662 Sudley Manor Dr, 50b, Manassas, VA 20109-2842
Jennifer Igbokwe Physical Therapy Professional Sportscare and Rehab LLC 11662 Sudley Manor Dr, 50b, Manassas, VA 20109-2842
Appaji Gondi Allergy/immunology Yuill Black Md and Michael R Kletz Md PC 7818 Donegan Dr, Manassas, VA 20109-2869
Michael R Kletz Allergy/immunology Yuill Black Md and Michael R Kletz Md PC 7818 Donegan Dr, Manassas, VA 20109-2869
Evelyn M Hatfield Clinical Social Worker Prince William County 7969 Ashton Ave, Manassas, VA 20109-2885
Laurence Shindelman Psychiatry Prince William County 7969 Ashton Ave, Manassas, VA 20109-2885
Find all physicians in zip 20109

Competitor

Search similar physicians

City MANASSAS
Zip Code 20109
Specialty DERMATOLOGY
City + Specialty MANASSAS + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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