Patricia Marie Nelson, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0010-05544 Issued in NC

Practice address

5838 Six Forks Rd
Suite #100
Raleigh, NC 27609-3885

Phone

(919) 785-3400

NPI assigned

Jan 24, 2015

Last updated

Jan 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pnelson404041@direct.medicine.duke.edu

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.

• Duke Health Integrated Practice, Inc

  dba Duke Gastroenterology of Raleigh

  • Gastroenterology Physician
  • Raleigh, NC
  • NPI 1780374884
  NPD
• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  NPD

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

{
    "created_epoch": "1422057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422057600000",
    "number": "1255721676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 SIX FORKS RD",
            "address_2": "SUITE #100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 SIX FORKS RD",
            "address_2": "SUITE #100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093885",
            "telephone_number": "919-785-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-24",
        "last_updated": "2015-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-05544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Nelson, MD
• Kayla Elizabeth Nelson, MPS, RDN, LDN
• Kelly Marie Nelson, LPC
• Leonard D Nelson Jr., MD
• Nanette Nelson, LCMHC
• Polly Marie Nelson, P.T.
• Rebecca Garrett Nelson, MSN, FNP
• Sarah Caroline Nelson, MPH, RD, LDN
• Sidney Kieppe Nelson
• Taylor Ilayne Nelson, PA-C

• Surgical Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Surgical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2015; 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.

Verify at the official NPI Registry.