Bethany Nelson
Individual provider Active NPI Physician Assistant · Cumberland, MD
NPI 1083874697 · NPPES record last updated May 24, 2021
Key facts
- NPI
- 1083874697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- C0004133 (MD)
- Practice address
- 14302 Barton Blvd SW
Cumberland, MD 21502-5852 - Phone
- (301) 729-3278
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellcare Inc
Practice addresses (Care Compare)
1226 National Hwy
Cumberland, MD 21502-7603
Phone (301) 709-0357
Hospital & facility affiliations
- Western Maryland Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090305000579 | PA | Practitioner - Physician Assistant | 3678639242 | Reassigns benefits to 2 organizations |
| I20100108000095 | MD | Practitioner - Physician Assistant | 3678639242 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Community Medcine Inc | Current |
Accepting new patients | |
| Upmc Community Medicine Inc | Current |
Accepting new patients | |
| Hyndman Area Health Center, Inc | Current |
Accepting new patients | |
| Lebanon Emergency Physicians PC | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
118 S Anderson St
Ste 1
Bedford, PA 15522
Phone (814) 623-2146
1 Corporate Dr
Ste 107
Bedford, PA 15522
Phone (814) 709-9819
249 Hospital Dr
Everett, PA 15537
Phone (814) 623-1166
2040 Quaker Valley Rd
Fishertown, PA 15539
Phone (814) 839-4152
227 Franklin St
Ste 304
Johnstown, PA 15901
Phone (814) 634-4968
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0004133 | MD | Yes |
Addresses
Primary practice location
14302 Barton Blvd SW
Cumberland, MD 21502-5852
Mailing address
14302 Barton Blvd SW
Cumberland, MD 21502-5852
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bethany.nelson@upmcdirect.com | UPMC |
NPI Registry JSON
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1083874697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14302 BARTON BLVD SW",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215025852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14302 BARTON BLVD SW",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215025852",
"telephone_number": "301-729-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "BETHANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0004133",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bethany.nelson@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cumberland, MD
- Sruthi Nandakumar
- Jeffery Allan Natale
- Samuel Navaratnam Nava
- Sabahat Nawab
- Kelly Lynn Neff
- Cheryl K Nelson
- Joseph Alton Nelson
- Mark G Nelson
- Danielle Neupauer
- Delphine Anyiamin Nguasong
All providers in Cumberland, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.