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

Rebecca Mae Nelson, PA-C

Individual provider Physician Assistant · NPI 1629896105

Rebecca Mae Nelson, PA-C is a Physician Assistant in Syracuse, New York. Graduated from State University of Ny Upstate Medical University in 2024, 2 years ago. Practices with Upstate Orthopedics, LLP, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4900 Broad Rd
Syracuse, NY 13215-2265
Phone: (315) 492-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6620 Fly Rd Ste 100, East Syracuse, NY 13057-4281 — (315) 464-4472

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032880 (NY)

Record details

NPI number1629896105
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 2, 2024
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2024 (2 years in practice)
Group practice Upstate Orthopedics, Llp — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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