MARK ALAN NELSON P.A.
NPI 1962940304
Physician Assistant in Kotzebue, AK

Q: What is Mark Nelson's NPI number?

The NPI number for Mark Nelson is 1962940304. It was assigned to this individual provider in the NPPES registry on February 6, 2017.

Q: What is Mark Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Nelson was last updated on February 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 06, 2017PECOS Enrolled

436 5TH AVE, MEDICAL SERVICES, MANIILAQ HEALTH CENTER, KOTZEBUE, AK 99752(907) 442-7148 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mark Alan Nelson P.a. NPPES

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

MARK ALAN NELSON P.A. (NPI 1962940304) is an individual physician assistant in Kotzebue, Alaska, licensed in Alaska (119037) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962940304

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMARK ALAN NELSONCredential: P.A.

Location Address436 5TH AVE, MEDICAL SERVICES, MANIILAQ HEALTH CENTERKotzebue, AK 99752

Mailing Address7934 Native Dancer TrlEvergreen, CO 80439-6470 · (720) 987-7481

Phone(907) 442-7148

Sole ProprietorYes

Enumeration DateFebruary 6, 2017

✔ NPI 1962940304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AK · 119037

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

436 5TH AVE, Kotzebue, AK 99752

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Alan Nelson P.a. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99752 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$90.40 typical visit price

range $21.84 – $181.48

Typical copayment $22.60 (range $5.46 – $45.37)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

ELSA RUTH A GILBERT

Registered Nurse (Obstetric, Inpatient)