Individual provider Active NPI

Paul Jens Nielsen, M.D.

  • Orthopaedic Surgery Physician
  • Kearney, NE
National Provider Identifier
1023306289
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
29514 Issued in NE
Practice address
2810 W 35TH St
Kearney, NE 68845-2909
Phone
(308) 865-2570
Fax
(308) 865-2508
NPI assigned
Jul 20, 2011
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 29514 NE
Orthopaedic Surgery Physician 207X00000X 29514 NE Primary

Addresses

Primary practice location

2810 W 35TH St
Kearney, NE 68845-2909

Mailing address

2810 W 35TH St
Kearney, NE 68845-2909
Phone (308) 865-2570

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paulnielsen@nwsmos.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170510002397 NE Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8527290493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of Missouri, Columbia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New West Sports Medicine and Orthopaedic Surgery PCGroup PAC ID 6800861014, 12 clinicians

Practice addresses (Care Compare)

2810 W 35TH St
Kearney, NE 68845-2909

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.32 of 100Reported as group
Quality
56.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)12
Melanoma (skin cancer) excision1-10
Removal of tissue13
Removal of nail tissue11
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New West Sports Medicine & Orthopaedic Surgery, P.C. Orthopaedic Surgery CurrentSince Jul 1, 2017 Accepting new patients

Locations

2810 W 35th St
Kearney, NE 68845
Phone (308) 865-2570

2810 W 35th St
Ste 1
Kearney, NE 68845
Phone (308) 865-2570

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/franhsp-b776da73
  • Direct secure messaging: paulnielsen@nwsmos.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1023306289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W 35TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452909",
            "telephone_number": "308-865-2570",
            "fax_number": "308-865-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W 35TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452909",
            "telephone_number": "308-865-2570",
            "fax_number": "308-865-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "PAUL",
        "middle_name": "JENS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NE",
            "license": "29514",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "29514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paulnielsen@nwsmos.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2810 W 35th St",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688452909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.