MICHAEL J. NELMS (PA-C) – Physician Assistant, NPI 1235113580

MICHAEL J. NELMS (PA-C) is a healthcare provider. based in San diego, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA14379 (CA). The NPI Number for MICHAEL J. NELMS (PA-C) is 1235113580

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J. NELMS (PA-C)
NPI
1235113580
Phone
(619) 298-9809
Address
4060 FOURTH AVE
Enumeration Date
30 November 2005
Last Update Date
15 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9496440101
Graduation Year
1997 (29 years ago)
PAC ID
1456432293
Group Practice PAC ID
8729990973
Professional Enrollment ID
I20080117000382
Address ID
CA926607669NE400XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MICHAEL J. NELMS (PA-C)

  • East 4th Avenue, Escondido, San Diego County, California, 92025, United States

    SUITE 415

    SAN DIEGO, CA 921032116

    Phone: (619) 298-9809

    Fax: (619) 298-9823

    Type: Location

  • 2285, Corporate Circle, Green Valley Ranch, Henderson, Clark County, Nevada, 89074, United States

    STE 200

    HENDERSON, NV 890747759

    Phone: (702) 360-2763

    Fax: (949) 783-2880

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 130 Open Payments records for all available years, with a total value of $2,858.

Total Amount is formed as General ($2,858) + Research ($0) + Ownership ($0) = $2,858.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($539).

Total Amount

$2,858

General + Research + Ownership

Payments

130

Total payment records

General Amount

$2,858

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2008-01-17

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
I20080117000382IPhysician AssistantCATBD

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
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg4,80020$0
17003Destruction of precancer skin growth, 2-14 growths1,292182$0
99213Established patient office or other outpatient visit, 20-29 minutes672328$0
11103Biopsy of related skin growth, each additional growth456171$0
11102Biopsy of related skin growth, first growth440266$0
View full utilization report →

Insurance plans in this area (ZIP 92103)

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Provider's Procedures

MICHAEL J. NELMS (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCA17003Destruction of 2-14 skin growths700144

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: 8729990973View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YCA
Nurse PractitionerNV
-CA
-CA
-NV
D E R M A T O L O G YNV
Dermatology, Micrographic Dermatologic Surgery (Mds), PathologyTX
D E R M A T O L O G YNV
Physician AssistantNV

Reviews

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Frequently asked questions

Is MICHAEL J. NELMS (PA-C) listed with a National Provider Identifier?
Yes — MICHAEL J. NELMS (PA-C) has NPI 1235113580 on file in the registry.
Is there an active status for MICHAEL J. NELMS (PA-C)?
For scheduling context, MICHAEL J. NELMS (PA-C) is shown as active in the registry.
What expertise is attributed to MICHAEL J. NELMS (PA-C)?
MICHAEL J. NELMS (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAEL J. NELMS (PA-C)?
Travel planning: use San Diego, California as the reference point for MICHAEL J. NELMS (PA-C), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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