CLAIRE SYLVIA NELSON DO
NPI 1164171971
Family Medicine in State College, PA
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Claire Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
State College, PA 16803
- Reassigned Medicare billing, Pennsylvania enrollment
- 393 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, PAPhysician 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Claire Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Claire Nelson reassigns Medicare benefits to Mount Nittany Medical Center Health Services Inc (State College, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claire Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 15 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.
# Claire Sylvia Nelson, DO · NPI 1164171971
Family Medicine physician in State College, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 20, 2022.
## Identity
- **NPI:** 1164171971 (Entity type: Individual)
- **Enumerated:** March 20, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS025043 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 164 GREENVIEW DR STE 485, State College, PA 16803-2106
- **Phone:** (814) 278-4898 · **Fax:** (814) 231-2004
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mount Nittany Medical Center Health Services Inc (NPI 1598992554, State College, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2022
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164171971) · Data from the CMS NPPES public registry.