IndividualActive
Bethany Nelson, PA-C
NPI 1912217415 · Surgical Physician Assistant · Providence, RI
Provider details
- NPI number
- 1912217415
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA00560 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
164 Summit Ave
C70
Providence, RI 02906-2853
Phone: (401) 793-4545
Fax: (401) 793-7866
Street-level locationGet directions
Mailing address
Po Box 16149
Rumford, RI 02916-0697
Additional practice locations (4)
- 2 Pond Park RdHingham, MA 02043-4347Phone: (781) 624-8352
- 143 Longwater DrNorwell, MA 02061-1683Phone: (781) 878-5200
- 780 Main StWeymouth, MA 02190-1622Phone: (781) 331-4600
- 55 Fogg RdWeymouth, MA 02190-2432Phone: (781) 624-8000
Registry dates
- Enumerated
- 2010-10-18
- Last updated
- 2025-08-04
- Certified
- 2025-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.