REBECCA MAE NELSON PA-C
NPI 1629896105
Physician Assistant in Syracuse, NY
About Rebecca Mae Nelson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA MAE NELSON PA-C (NPI 1629896105) is an individual physician assistant in Syracuse, New York, licensed in New York (032880) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and maintains a secondary practice location in East Syracuse.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Rebecca Mae 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13215 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13215
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 Rebecca Nelson's NPI number?
The NPI number for Rebecca Nelson is 1629896105. It was assigned to this individual provider in the NPPES registry on October 2, 2024.
Where is Rebecca Nelson located?
Rebecca Nelson practices at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5011.
What is Rebecca Nelson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Rebecca Nelson enrolled in Medicare?
Yes. Rebecca 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.
Is Rebecca Nelson affiliated with any hospitals?
According to CMS data, Rebecca Nelson is affiliated with University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Rebecca Nelson was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Rebecca Mae Nelson, PA-C · NPI 1629896105
Physician Assistant physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since October 2, 2024.
## Identity
- **NPI:** 1629896105 (Entity type: Individual)
- **Enumerated:** October 2, 2024
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 032880 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4900 BROAD RD, Syracuse, NY 13215-2265
- **Phone:** (315) 492-5011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** State University Of Ny Upstate Medical University, class of 2024
## Record status
- **NPPES last updated:** January 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629896105) · Data from the CMS NPPES public registry.