Individual provider Active NPI

Eric W Nelson, PA-C

  • Physician Assistant
  • Everett, PA
National Provider Identifier
1235338351
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053004 Issued in PA
Practice address
195 Memorial Dr
Suite 1
Everett, PA 15537-7056
Phone
(814) 623-3474
NPI assigned
Jul 18, 2007
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053004 PA Primary

Addresses

Primary practice location

195 Memorial Dr
Suite 1
Everett, PA 15537-7056

Mailing address

126 E Church St
Somerset, PA 15501-2271
Phone (814) 443-2100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070905000431 PA Practitioner - Physician Assistant 7810080975 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somerset Health Services IncGroup PAC ID 2668434614, 44 clinicians

Practice addresses (Care Compare)

229 S Kimberly Ave
Somerset, PA 15501-2022
Phone (814) 445-3575

426 Main St
Berlin, PA 15530-1229
Phone (814) 267-4603

Merit-based Incentive Payment System (MIPS)

Final score
79.88 of 100Reported as group
Quality
62.63
Promoting interoperability
100
Improvement activities
40
Cost
70.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Jul 30, 2012 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jul 30, 2012 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Somerset Health Services, Inc. CurrentSince Jan 12, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Somerset Health Services, Inc. Past Accepting new patients
Somerset Health Services, Inc. Past Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

195 Memorial Dr
Ste 1
Everett, PA 15537
Phone (814) 623-1137

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Interoperability endpoints

  • Direct secure messaging: eric.w.nelson@upmcdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1235338351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E CHURCH ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012271",
            "telephone_number": "814-443-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MEMORIAL DR",
            "address_2": "SUITE 1",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377056",
            "telephone_number": "814-623-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ERIC",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, PA

Sources for this page

Verify at the official NPI Registry.