Sean Thomas Nelson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

61103 Issued in CA

Practice address

4849 Ronson CT Ste 217
San Diego, CA 92111-1805

Phone

(858) 279-1212

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Male

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 CA

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Home Physicians Medical Group IncGroup PAC ID 0648277673, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Archer Health Inc Home health agency, Carlsbad, CA, CCN 053124
• Mission Home Health of San Diego LLC Home health agency, San Diego, CA, CCN 557711
• Accentcare Home Health of California, Inc Home health agency, San Diego, CA, CCN 057564
• Pacific Point HCS Inc Home health agency, San Diego, CA, CCN 059260
• A Better Solution in Home Care Home health agency, San Diego, CA, CCN 053116

Merit-based Incentive Payment System (MIPS)

Final score

95.94 of 100Reported as individual

Quality

84.42

Promoting interoperability

100

Improvement activities

40

Cost

68.72

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: sean.nelson.1@10731.direct.athenahealth.com

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.

• Home Physicians Medical Group, Inc.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1770523169
  Medicare reassignment Care Compare group

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

• Accentcare Home Health of California, Inc.

  • Home Health Agency
  • San Diego, CA
  • NPI 1376583617
  Care Compare affiliation
• Comfort and Thrive Home Health Corporation

  dba Comfort and Thrive Home Health

  • Home Health Agency
  • San Diego, CA
  • NPI 1588053177
  Care Compare affiliation
• Mission Home Health of San Diego LLC

  • Home Health Agency
  • San Diego, CA
  • NPI 1063726628
  Care Compare affiliation
• Optimal Health Care Inc

  dba Archer Health, Inc.

  • Home Health Agency
  • Carlsbad, CA
  • NPI 1053741017
  Care Compare affiliation
• Pacific Point HCS, Inc.

  dba Pacific Point Home Health & Palliative Care

  • Home Health Agency
  • San Diego, CA
  • NPI 1588261788
  Care Compare affiliation

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1306572888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5692 DELANO AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202906",
            "telephone_number": "619-723-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 RONSON CT STE 217",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111805",
            "telephone_number": "858-279-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SEAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Nelson
• Samantha E Nelson, RN
• Sara Jo Nelson
• Sarah Nelson
• Scott D Nelson
• Sharon Kay Nelson, R.D.
• Shawntana Orlando Nelson
• Stephen Nelson, PT, DPT
• Stephen Alexander Nelson
• Sumiko Nelson, MA, CCC

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.