Individual provider Active NPI

Marcia M Nelson, MD

  • Internal Medicine Physician
  • Murrysville, PA
National Provider Identifier
1043591597
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD442925 Issued in PA
Practice address
4262 Old William Penn Hwy Ste 109
Murrysville, PA 15668-1954
Phone
(724) 325-6010
Fax
(724) 327-4690
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD442925 PA Primary

Addresses

Primary practice location

4262 Old William Penn Hwy Ste 109
Murrysville, PA 15668-1954

Mailing address

4262 Old William Penn Hwy Ste 109
Murrysville, PA 15668-1954
Phone (724) 325-6010

Other identifiers 1

IdentifierTypeStateIssuer
102632018MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mnelson11217@direct.ahn.org
Direct Messaging Address mnelson11217@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000101 PA Practitioner - Internal Medicine 5698947547 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4262 Old William Penn Hwy
Ste 109
Murrysville, PA 15668
Phone (412) 325-5810

Interoperability endpoints

  • Direct secure messaging: mnelson11217@direct.ahn.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1043591597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 OLD WILLIAM PENN HWY STE 109",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681954",
            "telephone_number": "724-325-6010",
            "fax_number": "724-327-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 OLD WILLIAM PENN HWY STE 109",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681954",
            "telephone_number": "724-325-6010",
            "fax_number": "724-327-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARCIA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD442925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102632018",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnelson11217@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4262 Old William Penn Hwy Fl 1",
            "city": "Murrysville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156681953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnelson11217@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4262 Old William Penn Hwy Ste 109",
            "city": "Murrysville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156681954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

Verify at the official NPI Registry.