Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Marie Ellen Nielsen, MS, PA-C

Individual provider Physician Assistant · NPI 1396016093

Miss. Marie Ellen Nielsen, MS, PA-C is a Physician Assistant in Redlands, California. Qualified in 2005, 21 years ago. Practices with Beaver Medical Group P C, a 255-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1600 E Citrus Ave Ste A
Redlands, CA 92374-4802
Phone: (909) 389-1304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18155 (CA)

Record details

NPI number1396016093
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2012
Last updated in NPPESJanuary 4, 2026
Certification dateJanuary 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Beaver Medical Group P C — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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