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KATHERINE GRACE NELSON
NPI 1710777693
Physician Assistant - Surgical in Birmingham, AL

Active since May 12, 2025PECOS Enrolled
2173 HIGHLAND AVE S APT M314, BIRMINGHAM, AL 35205(303) 946-5615 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, May 12, 2025 (2 updates tracked since 2025).

About Katherine Grace Nelson NPPES

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

KATHERINE GRACE NELSON (NPI 1710777693) is an individual surgical provider in Birmingham, Alabama, licensed in Alabama (PA.2777) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Homewood.

NPPES Registry Identity

NPI1710777693
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKATHERINE GRACE NELSON
Location Address2173 HIGHLAND AVE S APT M314Birmingham, AL 35205-4081
Mailing Address2173 Highland Ave S Apt M314Birmingham, AL 35205-4081
Phone(303) 946-5615
Sole ProprietorNo
Enumeration DateMay 12, 2025
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1710777693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AL · PA.2777
Also ListedPhysician AssistantTaxonomy 363A00000X
2173 HIGHLAND AVE S APT M314, Birmingham, AL 35205
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Secondary Practice Location 1

Location 1513 Brookwood Blvd Ste 101Homewood, AL 35209-6878 · Phone (205) 933-8981 · Fax (205) 930-0746

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Grace Nelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

ASHLYN ELIZABETH PERRY
Physician Assistant
2173 HIGHLAND AVE S APT M314
BIRMINGHAM, AL 35205
Jefferson County (386) 249-2510

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 Katherine Nelson's NPI number?

The NPI number for Katherine Nelson is 1710777693. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Katherine Nelson located?

Katherine Nelson practices at 2173 Highland Ave S Apt M314, Birmingham, AL 35205. The listed phone number is (303) 946-5615.

What is Katherine Nelson's specialty?

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

Is Katherine Nelson enrolled in Medicare?

Yes. Katherine Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Nelson was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.