Active NPI
Marcia M Nelson, MD
- Internal Medicine Physician
- Murrysville, PA
National Provider Identifier
1043591597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD442925
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102632018 | Medicaid | PA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Infectious Disease Physician
- Monroeville, PA
- NPI 1336574995
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.