Active NPI
Jason T. Nieves, MD
- Vascular Surgery Physician
- Eglin AFB, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A127611
- Practice address
- 307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302 - Phone
- (850) 883-8600
- NPI assigned
- Jun 21, 2012
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A127611 | CA | Primary |
Addresses
Primary practice location
307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Mailing address
307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Phone (850) 883-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A127611 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Vascular Surgery | Current | Accepting new patients |
| Self Medical Group | Vascular Surgery | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Coastal Vascular and Interventional PLLC | Vascular Surgery | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Cardiothoracic & Vascular Surgical Associates PA | Vascular Surgery | Current | Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
1401 Court St
Pueblo, CO 81003
Phone (719) 562-2300
327 Medcrest Dr
Unit B
Crestview, FL 32536
Phone (850) 682-0032
332 Medcrest Dr
Crestview, FL 32536
Phone (850) 226-7322
4012 Commons Dr W
Ste 110
Destin, FL 32541
Phone (850) 434-7331
1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343
5970 Berryhill Rd
Milton, FL 32570
7720 US Highway 98 W
Ste 240
Miramar Beach, FL 32550
Phone (850) 502-5989
1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223
2301 N 9th Ave
Ste 100
Pensacola, FL 32503
Phone (850) 912-8249
4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619
5149 N 9th Ave
Ste 120
Pensacola, FL 32504
Phone (850) 426-5191
75 Remittance Dr
Dept 6764
Chicago, IL 60675
160 Academy Ave
Greenwood, SC 29646
Phone (864) 223-8090
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554
225 E Wood St
Spartanburg, SC 29303
Phone (864) 560-4420
853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jason.nieves@hca5.eclinicaldirectplus.com
- jnieves@cvi.curemd.direct-ci.com
- jnieves574396@selfregional.direct-ci.net
Organizations & group practices 10
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.
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
Vascular Surgery
-
- Vascular Surgery Physician
- Pensacola, FL
- NPI 1285888180
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
dba Medical Group of the Carolinas - Emergency Medicine
- Emergency Medicine Physician
- Spartanburg, SC
- NPI 1699729939
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Vascular Surgery Physician
- Greenwood, SC
- NPI 1124488895
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
dba Medical Group of the Carolinas - Cardiothoracic & Vascular Surgery
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Spartanburg, SC
- NPI 1043307887
-
dba Medical Group of the Carolinas Pain Management Wood Street
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194088369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BOATNER RD STE 114",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421302",
"telephone_number": "850-883-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BOATNER RD STE 114",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421302",
"telephone_number": "850-883-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "JASON",
"middle_name": "T.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A127611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eglin AFB, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.