MICHAEL J. NELMS PA-C NPI 1235113580

NPI Information

  • NPI: 1235113580
  • Provider Name: MICHAEL J. NELMS, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4060 FOURTH AVE
    SUITE 415
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 298-9809

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NPI Details

Michael J. Nelms, PA-C is a physician assistant in San Diego, CA with 28 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Michael J. Nelms, PA-C NPI is 1235113580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4060 FOURTH AVE
SUITE 415
SAN DIEGO, CA
ZIP 92103-116
Phone: (619) 298-9809
Fax: (619) 298-9823

The NPI 1235113580 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS:J7345)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Biopsy of ear (HCPCS:69100)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 11/30/2005 and was last updated on 3/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA14379CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AV153VMEDICARE PINCALIFORNIA
2P00892151OTHERCALIFORNIARR MEDICARE -CA GROUP PTAN CD5363
3AV153UMEDICARE PINCALIFORNIA
4AV153YMEDICARE PINCALIFORNIA
5BG109MEDICARE PINCALIFORNIA
6W11117MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
7WPA14379EMEDICARE PINCALIFORNIA
8AV153XMEDICARE PINCALIFORNIA
9AV153ZMEDICARE PINCALIFORNIA
10WPA14379FMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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