DORA BLAIR NELSON PA-C
NPI 1114764750
Physician Assistant in Saint Marys, PA

Active since July 11, 2024PECOS EnrolledAccepts Medicare Assignment
761 JOHNSONBURG RD, SAINT MARYS, PA 15857(814) 512-7126 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dora Blair Nelson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DORA BLAIR NELSON PA-C (NPI 1114764750) is an individual physician assistant in Saint Marys, Pennsylvania, licensed in Pennsylvania (MA065568) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114764750
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDORA BLAIR NELSONCredential: PA-C
Location Address761 JOHNSONBURG RDSaint Marys, PA 15857-3483
Mailing Address326 Terra Cotta RdJohnsonburg, PA 15845-1050 · (814) 512-7126
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
NPI 1114764750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA065568
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
761 JOHNSONBURG RD, Saint Marys, PA 15857

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dora Blair Nelson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597297572
PECOS Enrollment IDI20241015003585
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services68 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15857 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
761 JOHNSONBURG RD, SUITE 360
SAINT MARYS, PA 15857
Pediatrics (Adolescent Medicine)
761 JOHNSONBURG RD, SUITE 360
SAINT MARYS, PA 15857
Family Medicine
761 JOHNSONBURG RD, SUITE 220
SAINT MARYS, PA 15857
Urology
761 JOHNSONBURG RD, SUITE 350
SAINT MARYS, PA 15857
Nurse Practitioner (Family)
761 JOHNSONBURG RD
SAINT MARYS, PA 15857
Family Medicine
761 JOHNSONBURG RD, SUITE 240
SAINT MARYS, PA 15857
Surgery
761 JOHNSONBURG RD, ERPG SPECIALTY SERVICES
SAINT MARYS, PA 15857
Physician Assistant
761 JOHNSONBURG RD, SUITE 310
SAINT MARYS, PA 15857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dora Nelson's NPI number?

The NPI number for Dora Nelson is 1114764750. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Dora Nelson located?

Dora Nelson practices at 761 Johnsonburg Rd, Saint Marys, PA 15857. The listed phone number is (814) 512-7126.

What is Dora Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dora Nelson enrolled in Medicare?

Yes. Dora Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dora Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Dora Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dora Nelson affiliated with any hospitals?

According to CMS data, Dora Nelson is affiliated with Penn Highlands Dubois and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Dora Nelson was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.