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PATRICIA MARIE NELSON PA-C
NPI 1255721676
Physician Assistant - Surgical in Raleigh, NC

Active since January 24, 2015PECOS EnrolledAccepts Medicare Assignment
5838 SIX FORKS RD, SUITE #100, RALEIGH, NC 27609(919) 785-3400 Get Directions Write a Review

NPPES record last updated: January 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patricia Marie Nelson Pa-c NPPES

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

PATRICIA MARIE NELSON PA-C (NPI 1255721676) is an individual surgical provider in Raleigh, North Carolina, licensed in North Carolina (0010-05544) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255721676
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NamePATRICIA MARIE NELSONCredential: PA-C
Location Address5838 SIX FORKS RD, SUITE #100Raleigh, NC 27609-3885
Mailing Address5838 Six Forks Rd, Suite #100Raleigh, NC 27609-3885
Phone(919) 785-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 24, 2015
✔ NPI 1255721676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NC · 0010-05544
5838 SIX FORKS RD, Raleigh, NC 27609
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.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

Patricia Marie 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 ID5597083063
PECOS Enrollment IDI20150413001635
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 6

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.
67 services60 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
64 services61 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
24 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
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.
16 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 17

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

CHARLOTTE ROWE SPANGLER PA-C
Physician Assistant
5838 SIX FORKS RD, SUITE 100
RALEIGH, NC 27609
Wake County (919) 277-9841
WILLIAM ASHBY PA
Physician Assistant
5838 SIX FORKS RD, SUITE 100
RALEIGH, NC 27609
Wake County (919) 785-3400
RYAN KELLAN MILLAR PA-C
Physician Assistant
5838 SIX FORKS RD
RALEIGH, NC 27609
Wake County (919) 785-3400
BRIAN ALAN BURNE PA-C
Physician Assistant
5838 SIX FORKS RD, SUITE 100
RALEIGH, NC 27609
Wake County (919) 785-3400
AMANDA KATHLEEN ALLEN DPT
Physical Therapist
5838 SIX FORKS RD
RALEIGH, NC 27609
Wake County (919) 847-1100
DR. ROBERT LACIN MD
Neurological Surgery
5838 SIX FORKS RD, SUITE 100
RALEIGH, NC 27609
Wake County (919) 785-3400
DR. LARS BENJAMIN GARDNER D.O.
Neurological Surgery
5838 SIX FORKS RD, SUITE 100
RALEIGH, NC 27609
Wake County (919) 785-3400
DR. NOELLE JONES FERREE PT, DPT
Physical Therapist (Orthopedic)
5838 SIX FORKS RD, SUITE 300
RALEIGH, NC 27609
Wake County (919) 782-5954

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 Patricia Nelson's NPI number?

The NPI number for Patricia Nelson is 1255721676. It was assigned to this individual provider in the NPPES registry on January 24, 2015.

Where is Patricia Nelson located?

Patricia Nelson practices at 5838 Six Forks Rd Suite #100, Raleigh, NC 27609. The listed phone number is (919) 785-3400.

What is Patricia Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Patricia Nelson enrolled in Medicare?

Yes. Patricia 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 Patricia Nelson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Patricia 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 Patricia Nelson affiliated with any hospitals?

According to CMS data, Patricia Nelson is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Nelson was last updated on January 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.