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CLAIRE SYLVIA NELSON DO
NPI 1164171971
Family Medicine in State College, PA

Active since March 20, 2022PECOS EnrolledAccepts Medicare Assignment
164 GREENVIEW DR STE 485, STATE COLLEGE, PA 16803(814) 278-4898(814) 231-2004 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Claire Sylvia Nelson Do NPPES

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

CLAIRE SYLVIA NELSON DO (NPI 1164171971) is an individual family medicine provider in State College, Pennsylvania, licensed in Pennsylvania (OS025043) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Mount Nittany Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1164171971
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCLAIRE SYLVIA NELSONCredential: DO
Location Address164 GREENVIEW DR STE 485State College, PA 16803-2106
Mailing Address155 Wellness WayState College, PA 16803-6702 · (814) 231-7000 · Fax (814) 231-7098
Phone(814) 278-4898
Fax(814) 231-2004
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2022
Enumeration DateMarch 20, 2022
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1164171971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS025043
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
164 GREENVIEW DR STE 485, State College, PA 16803
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Claire Sylvia Nelson Do 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 ID3870977671
PECOS Enrollment IDI20250722002518
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.

Hospital Affiliations CMS Care Compare

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

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Claire Nelson's NPI number?

The NPI number for Claire Nelson is 1164171971. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Where is Claire Nelson located?

Claire Nelson practices at 164 Greenview Dr Ste 485, State College, PA 16803. The listed phone number is (814) 278-4898.

What is Claire Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Claire Nelson enrolled in Medicare?

Yes. Claire 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 Claire Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Claire 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 Claire Nelson affiliated with any hospitals?

According to CMS data, Claire Nelson is affiliated with Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Claire Nelson was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.