Deactivated NPI 1669478954 Deactivated / Inactive NPI Male Practitioner

Bryan Q Nelson , CRNP

Nurse Practitioner • Johnstown, PA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bryan Nelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 22, 2005

NPI Deactivation Date July 22, 2022

Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Bryan Nelson, CRNP was a registered Nurse Practitioner practicing in Johnstown, PA. Throughout an active medical career spanning 17 years, Bryan Nelson provided care at the practice location at 1086 FRANKLIN ST until profile deactivation on 2022-07-22.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, removal of central venous catheter for infusion. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1086 Franklin St

Johnstown, PA 159054305

Telephone 8145349194

Fax 8145345847

Associated Practice Facility / Clinic

🏢 Conemaugh Health Initiatives Facility NPI 1427051440

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Johnstown, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.7 Yrs

State Avg: 10.7 Yrs

Regional Practice Density

27 Specialists

Practicing in Johnstown, PA (3955 Statewide)

Telehealth Adoption Rate

14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	72	$142.00	$76.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$209.00	$107.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$84.00	$47.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	132	$142.00	$76.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	103	$209.00	$108.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	36	$84.00	$47.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$211.00	$94.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$322.00	$141.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	114	$142.00	$63.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	81	$84.00	$38.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	51	$209.00	$89.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$322.00	$138.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$211.00	$85.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	131	$142.00	$61.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	103	$84.00	$37.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	68	$209.00	$90.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$211.00	$89.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$322.00	$136.94
36589 Removal of central venous catheter for infusion	11	11	$328.00	$139.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	143	$142.41	$60.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	86	$84.00	$36.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	64	$209.00	$89.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$211.00	$89.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	107	$142.00	$59.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	90	$209.00	$88.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	87	$84.00	$35.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$211.00	$88.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$322.00	$135.24

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA TP006901M

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. George Michael Dekornfeld , MD

Surgery - Vascular Surgery

NPI 1386175875

Doctor of Medicine (M.D.)

Elizabeth Satkovich , CRNP

Nurse Practitioner - Family

NPI 1467170886

Certified Registered Nurse Practitioner

Dr. Theresa Cole , DO

Surgery - Vascular Surgery

NPI 1700907789

Doctor of Osteopathic Medicine (D.O.)

Nadine Zatsick , CRNP

Nurse Practitioner - Acute Care

NPI 1710082748

Certified Registered Nurse Practitioner

Dr. Glenn Gardner , MD

Surgery - Vascular Surgery

NPI 1932165321

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated July 22, 2022

Record deactivated on July 22, 2022

✅

NPI Profile Active March 05, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 05, 2014

Registered at 1086 FRANKLIN ST, JOHNSTOWN, PA 159054305 (Tel: 8145349194)

📍

Updated Business Mailing Address March 05, 2014

Registered at 1086 FRANKLIN ST, JOHNSTOWN, PA 159054305 (Tel: 8145349194)

👤

Provider Name / Credentials Updated March 05, 2014

Recorded as BRYAN NELSON, CRNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2014

Nurse Practitioner (License #TP006901M in PA)

🟢

Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Bryan Nelson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1669478954

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 22, 2005

Last Update: March 05, 2014

Deactivation Date: July 22, 2022

Update or Correct Profile

Mailing Address

1086 Franklin St

Johnstown, PA 159054305

Phone: 8145349194

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.