PATRICK S NELSON PA-C
NPI 1295067643
Physician Assistant in Dothan, AL

Q: What is Patrick Nelson's NPI number?

The NPI number for Patrick Nelson is 1295067643. It was assigned to this individual provider in the NPPES registry on February 10, 2010.

Q: What is Patrick Nelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patrick Nelson was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 10, 2010PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

2431 W MAIN ST, 501, DOTHAN, AL 36301(334) 793-9222(334) 671-0322 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2021, Mar 18, 2021, Jan 16, 2021 (3 updates tracked since 2021).

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About Patrick S Nelson Pa-c NPPES

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

PATRICK S NELSON PA-C (NPI 1295067643) is an individual physician assistant in Dothan, Alabama, licensed in Alabama (PA667) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2009).

NPPES Registry Identity

NPI1295067643

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePATRICK S NELSONCredential: PA-C

Location Address2431 W MAIN ST, 501Dothan, AL 36301-1217

Mailing Address2431 W Main St, 501Dothan, AL 36301-1217 · (334) 793-9222 · Fax (334) 671-0322

Phone(334) 793-9222

Fax(334) 671-0322

Sole ProprietorYes

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2009

Enumeration DateFebruary 10, 2010

Last NPPES UpdateMarch 24, 20213 updates tracked since enumeration

NPPES CertifiedMarch 24, 2021

✔ NPI 1295067643 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 AL · PA667

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.

2431 W MAIN ST, Dothan, AL 36301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Patrick S 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 ID1759577083

PECOS Enrollment IDI20101129000102

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 13

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,305 services256 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.

1,133 services716 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

489 services353 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

307 services244 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

306 services258 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

304 services247 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

98 services70 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

60 services60 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

60 services55 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

22 services18 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.

21 services21 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

15 services12 patients

Tissue fungi or parasites 87220

Tissue fungi or parasites refer to microorganisms that can infect various parts of the body. This may cause symptoms like fatigue, fever, and skin changes. Diagnosis involves testing samples from the affected area. Treatment often includes medication to eliminate the infection.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

SOUTHEASTERN CARDIOVASCULAR ASSOCIATES PC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2431 W MAIN ST, SUITE 1001
DOTHAN, AL 36301

Houston County (334) 794-2825

MRS. TERRY DENISE BRADLEY MS, LPC

Counselor (Professional)

2431 W MAIN ST, SUITE 603
DOTHAN, AL 36301

Houston County (334) 673-8869

L. TERRY PYNES

Specialist

2431 W MAIN ST, STE 501
DOTHAN, AL 36301

Houston County (334) 793-9222

L TERRY PYNES MD

Specialist

2431 W MAIN ST, STE 501
DOTHAN, AL 36301

Houston County (334) 793-9222

STEVEN F JOHNSON M. D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2431 W MAIN ST, STE 1001
DOTHAN, AL 36301

Houston County (334) 794-2825

DERMATOLOGY ASSOCIATES OF DOTHAN, LLC

Dermatology

2431 W MAIN ST, STE 501
DOTHAN, AL 36301

Houston County (334) 793-9222

DR. MICHAEL SCOTT HELMS D.M.D.

Dentist (General Practice)

2431 W MAIN ST, STE. 601
DOTHAN, AL 36301

Houston County (334) 793-3651

DR. KIRBY LAMAR HART M.D.

Obstetrics & Gynecology (Gynecology)

2431 W MAIN ST, STE 501
DOTHAN, AL 36301

Houston County (334) 793-9222

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 Patrick Nelson's NPI number?

The NPI number for Patrick Nelson is 1295067643. It was assigned to this individual provider in the NPPES registry on February 10, 2010.

Where is Patrick Nelson located?

Patrick Nelson practices at 2431 W Main St 501, Dothan, AL 36301. The listed phone number is (334) 793-9222.

What is Patrick Nelson's specialty?

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

Is Patrick Nelson enrolled in Medicare?

Yes. Patrick 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 Patrick Nelson accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Patrick 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.

When was this NPI record last updated?

The NPPES record for Patrick Nelson was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.