Nils A Nystrom, MD

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

21893 Issued in NE

Practice address

988095 Nebraska Medical Ctr
Omaha, NE 68198-8095

Phone

(402) 559-9800

Fax

(402) 559-9840

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, AZ2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Carlos Apache Healthcare CorporationGroup PAC ID 0648580597, 147 clinicians

Cobre Valley Regional Medical CenterGroup PAC ID 0648181693, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Carlos Apache Healthcare Corporation Hospital, Peridot, AZ, CCN 031320

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Cobre Valley Regional Medical Center

  • Critical Access Hospital
  • Globe, AZ
  • NPI 1871566521
  Medicare reassignment Care Compare group NPD
• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075

  TX

  Medicare reassignment Care Compare group NPD
• Advanced Spine and Pain LLC

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1356950653
  Medicare reassignment NPD
• Advanced Spine and Pain LLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
  • NPI 1639951577
  NPD
• Cobre Valley Regional Medical Center

  • Community/Retail Pharmacy
  • Globe, AZ
  • NPI 1639384233
  NPD
• Cobre Valley Regional Medical Center

  • Rural Health Clinic/Center
  • Superior, AZ
  • NPI 1649245135
  NPD
• San Carlos Apache Healthcare Corporation

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713
  NPD
• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  NPD (past)
• Cobre Valley Regional Medical Center

  • Rural Health Clinic/Center
  • Tonto Basin, AZ
  • NPI 1144799677

  Family Medicine

  NPD (past)

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

• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075
  Care Compare affiliation
• San Carlos Apache Healthcare Corporation

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245280361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988095 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988095",
            "telephone_number": "402-559-9800",
            "fax_number": "402-559-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988095 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988095",
            "telephone_number": "402-559-9800",
            "fax_number": "402-559-9840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5880 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Globe",
            "state": "AZ",
            "postal_code": "855019447",
            "country_code": "US",
            "telephone_number": "928-402-1131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYSTROM",
        "first_name": "NILS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NE",
            "license": "21893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078557586",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilie Nyholm
• Aye Nying
• Uwamahoro Nyiramugisha
• Achoui Nyoul
• Kelly K. Nystrom, PHARMD
• Daniel Columcille O'Brien, M.D.
• Dean Harvey O'Brien, DDS
• Johnathon O'Brien
• Leah K O'Brien, LIMHP
• Meghan O'Brien

• Orthopaedic Hand Surgery Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Orthopaedic Hand Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.