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JOEL NELSON
NPI 1952379885
Specialist in Pittsburgh, PA

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
5200 CENTRE AVE, SUITE 209, PITTSBURGH, PA 15232(412) 605-3000 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joel Nelson NPPES

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

JOEL NELSON (NPI 1952379885) is an individual specialist in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD069351L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Heritage Valley Sewickley, and is a graduate of Northwestern University Feinberg Medical School (1988).

NPPES Registry Identity

NPI1952379885
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJOEL NELSON
Location Address5200 CENTRE AVE, SUITE 209Pittsburgh, PA 15232-1300
Mailing Address5200 Centre Ave, Suite 209Pittsburgh, PA 15232-1300
Phone(412) 605-3000
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1988
Enumeration DateMarch 8, 2006
Last NPPES UpdateApril 6, 2021
✔ NPI 1952379885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD069351L
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5200 CENTRE AVE, Pittsburgh, PA 15232
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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

Joel Nelson 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 ID7810889862
PECOS Enrollment IDI20100727000161
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

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Heritage Valley Sewickley

Acute Care Hospitals · Sewickley, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390037
Location720 Blackburn RoadSewickley, PA 15143 · Allegheny County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

KRISHNA KANCHARLA
Internal Medicine (Clinical Cardiac Electrophysiology)
5200 CENTRE AVE, SUITE 710
PITTSBURGH, PA 15232
Allegheny County (412) 623-6889
EMILY YEE
Internal Medicine (Pulmonary Disease)
5200 CENTRE AVE, SHADYSIDE MEDICAL BUILDING, SUITE 610
PITTSBURGH, PA 15232
Allegheny County (412) 621-1200
HITENDRA PATEL
Legal Medicine
5200 CENTRE AVE, SUITE 312
PITTSBURGH, PA 15232
Allegheny County (412) 621-7777
STEPHANIE RICHARDS
Specialist
5200 CENTRE AVE, SUITE 405
PITTSBURGH, PA 15232
Allegheny County (412) 623-2700
HARRY RAFKIN
Internal Medicine (Pulmonary Disease)
5200 CENTRE AVE, SUITE 610
PITTSBURGH, PA 15232
Allegheny County (412) 621-1200
DR. MARK RIZKO MD
Student in an Organized Health Care Education/Training Program
5200 CENTRE AVE
PITTSBURGH, PA 15232
Allegheny County (412) 623-2121
TINA MUSAHL
Internal Medicine (Gastroenterology)
5200 CENTRE AVE, SUITE 312
PITTSBURGH, PA 15232
Allegheny County (412) 621-7777
JOEL BIGLEY
Urology
5200 CENTRE AVE, MEDICAL ARTS BUILDING, SUITE 209
PITTSBURGH, PA 15232
Allegheny County (412) 605-3000

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 Joel Nelson's NPI number?

The NPI number for Joel Nelson is 1952379885. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Joel Nelson located?

Joel Nelson practices at 5200 Centre Ave Suite 209, Pittsburgh, PA 15232. The listed phone number is (412) 605-3000.

What is Joel Nelson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Joel Nelson enrolled in Medicare?

Yes. Joel 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 Joel Nelson affiliated with any hospitals?

According to CMS data, Joel Nelson is affiliated with Heritage Valley Sewickley, Upmc Altoona, Upmc Bedford Memorial, Upmc Presbyterian Shadyside and Grove City Medical Center.

When was this NPI record last updated?

The NPPES record for Joel Nelson was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.