Active NPI
Scott Allen Nelson, PA
- Medical Physician Assistant
- Green Cove Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 2964
- Practice address
- 801 Oak St
Green Cove Springs, FL 32043-4317 - Phone
- (904) 276-2044
- Fax
- (904) 276-2106
- NPI assigned
- Apr 8, 2008
- Last updated
- Dec 15, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 2964 | FL | Primary |
Addresses
Primary practice location
801 Oak St
Green Cove Springs, FL 32043-4317
Mailing address
1893 Kingsley Ave
Suite C
Orange Park, FL 32073-4491
Phone (904) 276-2044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1555 Kingsley Ave
Suite 404
Orange Park, FL 32073-9207
Phone 9043883357201
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 2964 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Specialists of Jacksonville | Past | Accepting new patients |
Interoperability endpoints
- snelson78958@direct.acumenmd.com
Organizations & group practices 4
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.
-
- Pulmonary Disease Physician
- Orange Park, FL
- NPI 1750733580
-
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1568687069
-
dba Florida Kidney & Hypertension Clinic
- Nephrology Physician
- Hudson, FL
- NPI 1780684795
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1295738367
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Orange Park Hospital
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1376716621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1893 KINGSLEY AVE",
"address_2": "SUITE C",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734491",
"telephone_number": "904-276-2044",
"fax_number": "904-276-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 OAK ST",
"city": "GREEN COVE SPRINGS",
"state": "FL",
"postal_code": "320434317",
"telephone_number": "904-276-2044",
"fax_number": "904-276-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SCOTT",
"middle_name": "ALLEN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-08",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 2964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Cove Springs, FL
- Whitney H Millson
- Maria Elana Mora, M.D.
- Shahriar A Nabizadeh, MD
- Mohammed Faisal Naser, D.D.S, M.P.H.
- Karen Reynolds Nelson, A.P.R.N.
- Diem-Phuc Tran Nguyen, MD
- Truc Grace Phuong Nguyen, PHARMD.
- Rachel Nieves, RN, IBCLC
- Oak Street Opco LLC (Aviata at Green Cove Springs)
- Oak Terrace Health Care Associates LLC (Governor's Creek Health and Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.