GRACE BAZAN NELSON M.D.
NPI 1053721050
Pediatrics - Pediatric Endocrinology in Memphis, TN
NPI Status: Active since April 30, 2014
Contact Information
51 N DUNLAP ST FL 3
MEMPHIS, TN
ZIP 38105
Phone: (901) 287-7337
- Individual
- Female
- Pediatrics
- Pediatric Endocrinology
- Accepts Insurance
- PECOS Enrolled
About GRACE NELSON
This page provides the complete NPI Profile along with additional information for Grace Nelson, a pediatrician established in Memphis, Tennessee with a medical specialization in Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1053721050 assigned on April 2014. The practitioner's primary taxonomy code is 2080P0205X with license number 54820 (TN). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1053721050
- Provider Name
- GRACE BAZAN NELSON M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 51 N DUNLAP ST FL 3 MEMPHIS, TN 38105
- Location Phone
- (901) 287-7337
- Mailing Address
- 49 N DUNLAP ST FL 1 MEMPHIS, TN 38103
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-30-2014
- Last Update Date
- 07-21-2020
- Code Navigator
A pediatrician like Grace Nelson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- University Of Tennessee 910 Madison Avenue Suite 1031
Memphis, TN 38163
(901) 448-7635
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Endocrinology
- Taxonomy Code
- 2080P0205X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 54820
- License State
- TN
- Taxonomy Description
- A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Grace Nelson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 38105 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.8
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $30.45
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.6
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $23.4
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 7 | 2 | 1 | 0 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 14 | 2 | 2 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 1 + 4 + 2 + 2 + 0 + 1 + 0 + 24 = 40 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1053721050 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922206622 | KATHRYN MARIA SUMPTER MD Individual | Pediatrics (Pediatric Endocrinology) | 51 N DUNLAP ST FL 3 MEMPHIS, TN 38105 (901) 287-7337 |
| 1124646799 | TRISCILLA D'ANNE JOHNSON LPC-MHSP Individual | Counselor (Professional) | 51 N DUNLAP ST FL 3 MEMPHIS, TN 38105 (901) 523-2945 |
| 1639173446 | DAWN HEATHER SCOTT MD Individual | Pediatrics | 51 N DUNLAP ST FL 3 MEMPHIS, TN 38105 (901) 523-2945 |
| 1932165883 | RUTH CHENEY PATTON MD Individual | Pediatrics | 51 N DUNLAP ST FL 3 MEMPHIS, TN 38105 (901) 523-2945 |
| 1972507796 | LEON LIVINGSTON MD Individual | Pediatrics | 51 N DUNLAP ST FL 3 MEMPHIS, TN 38105 (901) 523-2945 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053721050, enumerated in the NPI registry as an "individual" on April 30, 2014
The provider is located at 51 N Dunlap St Fl 3 Memphis, Tn 38105 and the phone number is (901) 287-7337
The provider's speciality is Pediatrics with taxonomy code 2080P0205X with a focus in Pediatric Endocrinology
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee and Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $121.8 with an average copayment of $30.45 for new patient appointments. Established patients should expect a typical charge of $93.6 and an average copayment of 23.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 30, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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