Individual provider Active NPI

Betsy Nelson, PA-C

  • Physician Assistant
  • Greenwood, IN
National Provider Identifier
1790501245
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004663A Issued in IN
Practice address
747 E County Line Rd Ste J
Greenwood, IN 46143-1082
Phone
(812) 376-0700
Fax
(812) 376-8625
NPI assigned
Dec 2, 2024
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 10004663A IN Primary

Addresses

Primary practice location

747 E County Line Rd Ste J
Greenwood, IN 46143-1082

Mailing address

7951 Shoal Creek Blvd Ste 300
Austin, TX 78757-7582
Phone (512) 584-8404

Other practice location 1

2400 Northpark Dr Ste 10
Columbus, IN 47203-4467
Phone (812) 376-0700

Other practice location 2

455 S Landmark Ave
Bloomington, IN 47403-5004
Phone (812) 376-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20241220001447 IN Practitioner - Physician Assistant 0648707265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain and Aging Management LLCGroup PAC ID 0446291181, 7 clinicians

Practice addresses (Care Compare)

455 S Landmark Ave
Bloomington, IN 47403-5004
Phone (812) 376-0700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Aging Management LLC Physician Assistant CurrentSince Nov 25, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

455 S Landmark Ave
Bloomington, IN 47403
Phone (812) 269-7674

2400 Northpark Dr
Ste 10
Columbus, IN 47203
Phone (812) 376-0700

2400 Northpark Dr
Ste 20
Columbus, IN 47203
Phone (812) 376-0700

747 E County Line Rd
Greenwood, IN 46143
Phone (317) 528-8009

747 E County Line Rd
Ste J
Greenwood, IN 46143
Phone (317) 886-1529

3740 S 4th St
Terre Haute, IN 47802
Phone (812) 232-3900

7951 Shoal Creek Blvd
Ste 300
Austin, TX 78757

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1790501245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 SHOAL CREEK BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577582",
            "telephone_number": "512-584-8404",
            "fax_number": "812-376-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 E COUNTY LINE RD STE J",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431082",
            "telephone_number": "812-376-0700",
            "fax_number": "812-376-8625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Northpark Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472034467",
            "country_code": "US",
            "telephone_number": "812-376-0700",
            "fax_number": "812-376-8625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 S Landmark Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474035004",
            "country_code": "US",
            "telephone_number": "812-376-0700",
            "fax_number": "812-376-8625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BETSY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004663A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.