Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Bethany Nelson, PA-C

Individual provider Surgical Physician Assistant · NPI 1912217415

MS. Bethany Nelson, PA-C is a Physician Assistant in Providence, Rhode Island. Graduated from State University of New York at Stony Brook, School of Medicine in 2010, 16 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
16
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
RI
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

164 Summit Ave C70
Providence, RI 02906-2853
Phone: (401) 793-4545
Fax: (401) 793-7866
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2 Pond Park Rd, Hingham, MA 02043-4347 — (781) 624-8352
  • 143 Longwater Dr, Norwell, MA 02061-1683 — (781) 878-5200
  • 55 Fogg Rd, Weymouth, MA 02190-2432 — (781) 624-8000
  • 780 Main St, Weymouth, MA 02190-1622 — (781) 331-4600

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA00560 (RI)

Record details

NPI number1912217415
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2010
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Providence