B NELSON LLC
NPI 1770173858
Nurse Practitioner - Psychiatric/Mental Health in State College, PA
About B Nelson Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
B NELSON LLC (NPI 1770173858) is a healthcare organization registered as a psychiatric/mental health in State College, Pennsylvania and active in the NPI registry since January 2021. The organization maintains a secondary practice location in King Of Prussia and lists Bridgette Stephanie Nelson, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
B Nelson Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to B Nelson LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
State College, PA 16801
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 B Nelson LLC's NPI number?
The NPI number for B Nelson LLC is 1770173858. It was assigned to this organization in the NPPES registry on January 22, 2021.
Where is B Nelson LLC located?
B Nelson LLC is located at 3091 Enterprise Dr Ste 202, State College, PA 16801. The listed phone number is (610) 570-5639.
What is B Nelson LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is B Nelson LLC enrolled in Medicare?
Yes. B Nelson LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through B Nelson LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to B Nelson LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for B Nelson LLC was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# B Nelson Llc · NPI 1770173858
Psychiatric/Mental Health organization in State College, Pennsylvania. Organization record, active in the CMS NPPES registry since January 22, 2021.
## Identity
- **NPI:** 1770173858 (Entity type: Organization)
- **Enumerated:** January 22, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Bridgette Nelson, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 3091 ENTERPRISE DR STE 202, State College, PA 16801-3099
- **Phone:** (610) 570-5639
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1770173858) · Data from the CMS NPPES public registry.