MR. BRADY PAUL NELSON (P.A.-C) – Medical Physician Assistant, NPI 1922103407

MR. BRADY PAUL NELSON (P.A.-C) is a healthcare provider. based in Peoria, Arizona. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. 2677 (AZ). The NPI Number for MR. BRADY PAUL NELSON (P.A.-C) is 1922103407

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRADY PAUL NELSON (P.A.-C)
NPI
1922103407
Phone
(623) 815-2690
Address
13943 N. 91ST AVE BUILDING I
Enumeration Date
13 September 2006
Last Update Date
17 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
7810142064
Group Practice PAC ID
1456345115
Professional Enrollment ID
I20130219000563
Address ID
AZ853813692PE13943IXXX600
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,685 PHYSICIAN ASSISTANT in AZ

Provider Addresses for MR. BRADY PAUL NELSON (P.A.-C)

  • 13943 N. 91ST AVE BUILDING I

    PEORIA, AZ 853813692

    Phone: (623) 815-2690

    Fax: (623) 815-2689

    Type: Mailing

  • 13943 N . 91ST AVE BUILDING I

    PEORIA, AZ 853813692

    Phone: (623) 815-2690

    Fax: (623) 815-2689

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 303 Open Payments records for all available years, with a total value of $5,841.

Total Amount is formed as General ($5,841) + Research ($0) + Ownership ($0) = $5,841.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($1,296).

Total Amount

$5,841

General + Research + Ownership

Payments

303

Total payment records

General Amount

$5,841

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130219000563IPhysician AssistantAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg4,02039$0
J1745Injection, infliximab, excludes biosimilar, 10 mg2,98012$0
99214Established patient office or other outpatient visit, 30-39 minutes675244$0
J1885Injection, ketorolac tromethamine, per 15 mg65839$0
96372Injection of drug or substance under skin or into muscle477116$0
View full utilization report →

Insurance plans in this area (ZIP 85381)

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Provider's Procedures

MR. BRADY PAUL NELSON (P.A.-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTAZ20610Aspiration and/or injection of large joint or joint capsule2913

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456345115View full group profile
NameSpecialtyState
Internal Medicine, RheumatologyNV
R H E U M A T O L O G YAZ
Physician AssistantAZ
Internal MedicineNY
Physician AssistantAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Where can patients find MR. BRADY PAUL NELSON (P.A.-C)'s NPI?
You can confirm MR. BRADY PAUL NELSON (P.A.-C) with NPI 1922103407; it appears in the national provider directory.
Is MR. BRADY PAUL NELSON (P.A.-C)'s NPI currently valid?
The extract we use shows MR. BRADY PAUL NELSON (P.A.-C) as active.
Does MR. BRADY PAUL NELSON (P.A.-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for MR. BRADY PAUL NELSON (P.A.-C). Clinical services aligned with this taxonomy classification.
Where is MR. BRADY PAUL NELSON (P.A.-C)'s primary listing?
We display Peoria, Arizona because that is what the record indicates for MR. BRADY PAUL NELSON (P.A.-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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