NPIMap

Individual provider Active NPI

Alexandria Sloane Nelsen, PA-C

  • Physician Assistant
  • Simpsonville, SC
National Provider Identifier
1699437020
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4135 Issued in SC
Practice address
312 Harrison Bridge Rd
Simpsonville, SC 29680-7133
Phone
(864) 603-5600
NPI assigned
Oct 13, 2021
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 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 4135 SC Primary

Addresses

Primary practice location

312 Harrison Bridge Rd
Simpsonville, SC 29680-7133

Mailing address

5022 Longtown Rd
Ridgeway, SC 29130-7117
Phone (803) 608-8999

Other names 1

  • Miss Alexandria Sloane McCutchan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20220131000948 SC Practitioner - Physician Assistant 8325431141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Musc Affiliate PhysiciansGroup PAC ID 6305241027, 48 clinicians

Practice addresses (Care Compare)

145 E Poinsett St
Greer, SC 29651-3405
Phone (864) 272-0388

2 Bella Grove Dr
Greenville, SC 29607-3459
Phone (864) 603-5600

312 Harrison Bridge Rd
Simpsonville, SC 29680-7133
Phone (864) 757-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4135SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Jan 12, 2022 Accepting new patients
University Medical Associates Past Accepting new patients

Locations

2 Bella Grove Dr
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 603-5600

Interoperability endpoints

  • Direct secure messaging: alexandria.nelsen@bmpdbpc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBBGDD

Organizations & group practices 2

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1699437020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 LONGTOWN RD",
            "city": "RIDGEWAY",
            "state": "SC",
            "postal_code": "291307117",
            "telephone_number": "803-608-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HARRISON BRIDGE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807133",
            "telephone_number": "864-603-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "ALEXANDRIA",
        "middle_name": "SLOANE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "MCCUTCHAN",
            "middle_name": "SLOANE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.