PHILIP K NELSON RPA-C
NPI 1790055168
Physician Assistant - Surgical in Waterbury, CT

Active since January 03, 2012PECOS EnrolledAccepts Medicare Assignment
70.76/100
CMS Quality Rating
500 CHASE PKWY, WATERBURY, CT 06708(203) 755-6677 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philip K Nelson Rpa-c NPPES

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

PHILIP K NELSON RPA-C (NPI 1790055168) is an individual surgical provider in Waterbury, Connecticut, licensed in Connecticut (2700) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1790055168
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NamePHILIP K NELSONCredential: RPA-C
Location Address500 CHASE PKWYWaterbury, CT 06708-3346
Mailing Address500 Chase PkwyWaterbury, CT 06708-3346 · (203) 755-6677
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 3, 2012
Last NPPES UpdateNovember 1, 2016
NPI 1790055168 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 CT · 2700
500 CHASE PKWY, Waterbury, CT 06708

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

Philip K Nelson Rpa-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 ID5496913717
PECOS Enrollment IDI20120216000057
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 3

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.
58 services56 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.
24 services24 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
23 services23 patients

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.

70.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.21
Promoting Interoperability85
Improvement Activities40
Cost51.85

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.

Physician Assistant
500 CHASE PKWY
WATERBURY, CT 06708
Physical Therapist
500 CHASE PKWY
WATERBURY, CT 06708
Chiropractor
500 CHASE PKWY
WATERBURY, CT 06708
Nurse Practitioner (Adult Health)
500 CHASE PKWY
WATERBURY, CT 06708
Physician Assistant (Medical)
500 CHASE PKWY
WATERBURY, CT 06708
Physician Assistant
500 CHASE PKWY
WATERBURY, CT 06708
Internal Medicine
500 CHASE PKWY, THIRD FLOOR
WATERBURY, CT 06708
Physical Therapist
500 CHASE PKWY
WATERBURY, CT 06708

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 Philip Nelson's NPI number?

The NPI number for Philip Nelson is 1790055168. It was assigned to this individual provider in the NPPES registry on January 3, 2012.

Where is Philip Nelson located?

Philip Nelson practices at 500 Chase Pkwy, Waterbury, CT 06708. The listed phone number is (203) 755-6677.

What is Philip Nelson's specialty?

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

Is Philip Nelson enrolled in Medicare?

Yes. Philip 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.

When was this NPI record last updated?

The NPPES record for Philip Nelson was last updated on November 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.