Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912217415 Individual Practitioner Female Practitioner

Bethany Nelson , PA-C

Physician Assistant - Surgical • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bethany Nelson, PA-C is a certified Physician Assistant - Surgical practicing in Providence, RI. With approximately 16 years of clinical experience since graduating from State University Of New York At Stony Brook, School Of Medicine in 2010, Bethany Nelson delivers high-quality medical care to the local community at 164 SUMMIT AVE.

Bethany Nelson maintains professional affiliations with South Shore Medical Center, Inc., University Surgical Associates, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

164 Summit Ave
C70

Providence, RI 029062853

Telephone 4017934545
Fax 4017937866
Associated Practice Facility / Clinic
🏢 The Miriam Hospital Facility NPI 1487649430

Medicare Profile & Education

Medical School

State University Of New York At Stony Brook, School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Providence, RI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs Matches City Avg
City Avg: 16.0 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
39 Specialists

Practicing in Providence, RI (71 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (16 Years) 16 Yrs
Providence Specialty Average (16.0 Years) 16.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
17 16 $153.00 $65.50

Medical Specialties & State Licenses

CMS Verified: 2025-08-04
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License RI PA00560

Definition to come...

Hospital & Practice Group Affiliations

South Shore Medical Center, Inc.

55 Fogg Rd, Weymouth, MA 021902432

Phone: 7816248000

University Surgical Associates, Inc.

2 Dudley St, Providence, RI 029053248

Phone: 4012721800

South Shore Medical Center, Inc.

5 Tarkiln Rd, Kingston, MA 023641250

Phone: 7815852200

Secondary Practice Locations

143 Longwater Dr

Norwell, MA 020611683

Phone: 7818785200

780 Main St

Weymouth, MA 021901622

Phone: 7813314600

55 Fogg Rd

Weymouth, MA 021902432

Phone: 7816248000

2 Pond Park Rd

Hingham, MA 020434347

Phone: 7816248352

Practice Associates & Co-Workers

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

12 Associated Practitioners
Haylee Kurkoski , PA-C

Physician Assistant - Surgical

NPI 1033776398

Physician Assistant (Certified)

Phathsady Louangxay , PA

Physician Assistant - Medical

NPI 1174586671

Physician Assistant

Alison Migliori , PA-C

Physician Assistant

NPI 1245791862

Physician Assistant (Certified)

Kelvin Doan , PA-C

Physician Assistant - Surgical

NPI 1356691430

Physician Assistant (Certified)

Richard Hernandez , PA-C

Physician Assistant - Medical

NPI 1457328221

Physician Assistant (Certified)

Karen Doyle , CNPP

Nurse Practitioner - Adult Health

NPI 1467783357

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address January 29, 2020

Registered at PO BOX 16149, RUMFORD, RI 029160697 (Tel: 4014539625)

NPI Profile Active September 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2015

Registered at 164 SUMMIT AVE, C70, PROVIDENCE, RI 029062853 (Tel: 4017934545)

📍
Updated Business Mailing Address September 16, 2015

Registered at 123 SUMMER ST, WORCESTER, MA 016081216 (Tel: 5083636095)

👤
Provider Name / Credentials Updated September 16, 2015

Recorded as BETHANY NELSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2015

Physician Assistant (License #PA00560 in RI)

🟢
Initial NPI Registration & Enumeration October 18, 2010

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 Bethany Nelson. Be the first to share your experience!

Sign in to leave a review for Bethany Nelson

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

NPI Administrative Meta

NPI Number: 1912217415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2010
Last Update: August 04, 2025
Sole Proprietor: No

Mailing Address

Po Box 16149

Rumford, RI 029160697

Phone: 4014539625

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.