Christopher M. Nielsen, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036-126617 Issued in IL

Practice address

5666 East State Street
Rockford, IL 61108-2425

Phone

(815) 226-2000

Fax

(608) 826-2710

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Emergency Medicine

Education

University of North Dakota School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Associates of Madison, SCGroup PAC ID 2567455264, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Emergency Medicine Associates of Madison, SC

  • Emergency Medicine Physician
  • Madison, WI
  • NPI 1235119769
  Medicare reassignment Care Compare group NPD

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

• Meriter Hospital, Inc.

  • Rehabilitation Clinic/Center
  • Madison, WI
  • NPI 1073672556

  Hospital

  Care Compare affiliation
• Meriter Hospital, Inc.

  • General Acute Care Hospital
  • Madison, WI
  • NPI 1114920048
  Care Compare affiliation

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1043280811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 EAST STATE STREET",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082425",
            "telephone_number": "815-226-2000",
            "fax_number": "608-826-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 EAST STATE STREET",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082425",
            "telephone_number": "815-226-2000",
            "fax_number": "608-826-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "44558",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-126617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34253900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Elizabeth Nicolls, MSPT
• Francis J. Nicolosi, MD
• Sandra Kay Nicolosi, APRN, BC
• Timothy Raymond Niedzielak, DO
• Anna Nielsen
• David A Nielsen, O.D.
• John M Nielsen, DPM
• Joanna M Niemiec, MD
• Sandra S Nienaber
• Vanessa Nienhouse, M.D.

• Emergency Medicine Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.