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

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (6 clinicians)

Practice addresses (Care Compare)

1226 National Hwy
Cumberland, MD 21502-7603
Phone (301) 709-0357

Hospital & facility affiliations

  • Western Maryland Regional Medical Center Hospital · Cumberland, MD · CCN 210027

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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc Current
since May 1, 2020
Accepting new patients
Upmc Community Medicine Inc Current
since May 1, 2020
Accepting new patients
Hyndman Area Health Center, Inc Current
since Aug 3, 2023
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address bethany.nelson@upmcdirect.com UPMC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 24, 2021.

{
    "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

All providers in Cumberland, MD · Physician Assistant in Maryland

Sources for this page

Verify at the official NPI Registry.