ERIC W NELSON (PA-C) – Physician Assistant, NPI 1235338351

ERIC W NELSON (PA-C) is a healthcare provider. based in Everett, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA053004 (PA). The NPI Number for ERIC W NELSON (PA-C) is 1235338351

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
ERIC W NELSON (PA-C)
NPI
1235338351
Phone
Not provided
Address
195 MEMORIAL DR
Enumeration Date
18 July 2007
Last Update Date
19 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8142674603
Graduation Year
2006 (20 years ago)
PAC ID
7810080975
Group Practice PAC ID
2668434614
Professional Enrollment ID
I20070905000431
Address ID
PA155301229BE426XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for ERIC W NELSON (PA-C)

  • 195 MEMORIAL DR

    SUITE 1

    EVERETT, PA 155377056

    Phone:

    Type: Mailing

  • 126 E CHURCH ST

    SOMERSET, PA 155012271

    Phone: (814) 443-2100

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-09-05

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
I20070905000431IPhysician AssistantPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15537)

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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: 2668434614View full group profile
NameSpecialtyState
-PR
P S Y C H I A T R YPA
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA
Pulmonary DiseasePA
Cardiovascular Disease (Cardiology), Internal MedicineFL
Family PracticePA
-MI
Nurse PractitionerPA

Reviews

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Frequently asked questions

How do I look up ERIC W NELSON (PA-C) by NPI?
Use NPI 1235338351 when you need to reference ERIC W NELSON (PA-C) in forms, claims, or directories.
Does this profile mean ERIC W NELSON (PA-C) is currently active?
Yes — ERIC W NELSON (PA-C) appears active in the national provider directory.
What kind of provider is ERIC W NELSON (PA-C)?
The page reflects Physician Assistant for ERIC W NELSON (PA-C). Clinical services aligned with this taxonomy classification.
Where is ERIC W NELSON (PA-C)'s primary listing?
We display Everett, Pennsylvania because that is what the record indicates for ERIC W NELSON (PA-C).
What if Everett, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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