Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Philip K Nelson, RPA-C

Individual provider Surgical Physician Assistant · NPI 1790055168

Philip K Nelson, RPA-C is a Physician Assistant in Waterbury, Connecticut. Qualified in 2011, 15 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
15
Licensed in
CT
In the registry since
2012
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Practice location Address checks out

500 Chase Pkwy
Waterbury, CT 06708-3346
Phone: (203) 755-6677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2700 (CT)

Record details

NPI number1790055168
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2012
Last updated in NPPESNovember 1, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Waterbury