NPIMap

Individual provider Active NPI

Samuel Nelson

  • Physician Assistant
  • Monroeville, PA
National Provider Identifier
1669368551
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2580 Haymaker Rd Ste 102
Monroeville, PA 15146-3500
Phone
(412) 858-7766
Fax
(412) 858-7769
NPI assigned
Jun 16, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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 Primary

Addresses

Primary practice location

2580 Haymaker Rd Ste 102
Monroeville, PA 15146-3500

Mailing address

2580 Haymaker Rd Ste 102
Monroeville, PA 15146-3500
Phone (412) 858-7766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107003895 PA Practitioner - Physician Assistant 4284124157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

2580 Haymaker Rd
Suite 102
Monroeville, PA 15146-3500
Phone (412) 858-7766

Hospital & facility affiliations

  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267
  • Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032
  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Oct 21, 2025 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Oct 21, 2025 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1001 9th Ave
Brackenridge, PA 15014

2580 Haymaker Rd
Ste 102
Monroeville, PA 15146
Phone (412) 856-9142

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: snelson1043681@direct.ahn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1669368551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD STE 102",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463500",
            "telephone_number": "412-858-7766",
            "fax_number": "412-858-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD STE 102",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463500",
            "telephone_number": "412-858-7766",
            "fax_number": "412-858-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.