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MS. BETHANY NELSON PA-C
NPI 1912217415
Physician Assistant - Surgical in Providence, RI

Active since October 18, 2010PECOS EnrolledAccepts Medicare Assignment
164 SUMMIT AVE, C70, PROVIDENCE, RI 02906(401) 793-4545(401) 793-7866 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Jan 29, 2020 (2 updates tracked since 2020).

About Ms. Bethany Nelson Pa-c NPPES

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

MS. BETHANY NELSON PA-C (NPI 1912217415) is an individual surgical provider in Providence, Rhode Island, licensed in Rhode Island (PA00560) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1912217415
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. BETHANY NELSONCredential: PA-C
Location Address164 SUMMIT AVE, C70Providence, RI 02906-2853
Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 453-9625 · Fax (401) 435-7069
Phone(401) 793-4545
Fax(401) 793-7866
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2010
Enumeration DateOctober 18, 2010
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1912217415 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 RI · PA00560
164 SUMMIT AVE, Providence, RI 02906
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1143 Longwater DrNorwell, MA 02061-1683 · Phone (781) 878-5200
Location 2780 Main StWeymouth, MA 02190-1622 · Phone (781) 331-4600
Location 355 Fogg RdWeymouth, MA 02190-2432 · Phone (781) 624-8000
Location 42 Pond Park RdHingham, MA 02043-4347 · Phone (781) 624-8352

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

Ms. Bethany 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 ID244483196
PECOS Enrollment IDI20130102000005, I20151020002700
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

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.

MRS. HALINA KUC-MAZGAJ
Nurse Practitioner (Family)
164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906
Providence County (401) 793-3902
KARL HERMAN M.D.
Internal Medicine
164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906
Providence County (401) 793-4489
MUHAMMAD BAIG M.D.
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906
Providence County (401) 793-4489
MS. LEANNE LAPARLE LICSW
Social Worker (Clinical)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-2069
THOMAS FAIRWEATHER CRAIN MD
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4630
JAMES ATKINSON MD
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500
DR. ORIANE DIANA LONGERSTAEY MD
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (704) 355-3181
JEFFREY M BUROCK MD
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500

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 Bethany Nelson's NPI number?

The NPI number for Bethany Nelson is 1912217415. It was assigned to this individual provider in the NPPES registry on October 18, 2010.

Where is Bethany Nelson located?

Bethany Nelson practices at 164 Summit Ave C70, Providence, RI 02906. The listed phone number is (401) 793-4545.

What is Bethany Nelson's specialty?

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

Is Bethany Nelson enrolled in Medicare?

Yes. Bethany 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 Bethany Nelson affiliated with any hospitals?

According to CMS data, Bethany Nelson is affiliated with South Shore Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Bethany Nelson was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.