SCOTT ALLEN NELSON (PA) – Medical Physician Assistant, NPI 1376716621

SCOTT ALLEN NELSON (PA) is a healthcare provider. based in Orange park, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA 2964 (FL). The NPI Number for SCOTT ALLEN NELSON (PA) is 1376716621

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT ALLEN NELSON (PA)
NPI
1376716621
Phone
(904) 276-2044
Address
1893 KINGSLEY AVE
Enumeration Date
8 April 2008
Last Update Date
15 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043883357201
Graduation Year
1995 (31 years ago)
PAC ID
9234366857
Group Practice PAC ID
2961781984
Professional Enrollment ID
I20131205001039
Address ID
FL320739207OR1555XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for SCOTT ALLEN NELSON (PA)

  • 1893, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States

    SUITE C

    ORANGE PARK, FL 320734491

    Phone: (904) 276-2044

    Fax: (904) 276-2106

    Type: Mailing

  • Green Cove Springs, Clay County, Florida, United States

    GREEN COVE SPRINGS, FL 320434317

    Phone: (904) 276-2044

    Fax: (904) 276-2106

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

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: 2013-12-05

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
I20131205001039IPhysician AssistantFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,514273$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes700145$0
71045X-ray of chest, 1 view455159$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes220202$0
71250Ct scan of chest without contrast202151$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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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: 2961781984View full group profile
NameSpecialtyState
Internal MedicineFL
Pulmonary DiseaseFL

Reviews

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Frequently asked questions

Is there an official ID for SCOTT ALLEN NELSON (PA) in U.S. healthcare records?
The official identifier for SCOTT ALLEN NELSON (PA) is NPI 1376716621.
Would SCOTT ALLEN NELSON (PA) appear as active to a payer?
You can treat SCOTT ALLEN NELSON (PA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with SCOTT ALLEN NELSON (PA)?
SCOTT ALLEN NELSON (PA)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is SCOTT ALLEN NELSON (PA) registered?
Use Orange Park, Florida as the headline location for SCOTT ALLEN NELSON (PA) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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