Marc Nielsen, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A 10672 Issued in CA

Practice address

795 Joaquin St
Susanville, CA 96130-3628

Phone

(530) 257-2542

NPI assigned

Feb 25, 2008

Last updated

Sep 21, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Family PracticeAlso: Emergency Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seneca Healthcare DistrictGroup PAC ID 8820907140, shared by 3 NPIs, 22 clinicians

Eastern Plumas Health Care DistrictGroup PAC ID 4587576889, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Quincy Home Medical Services Home health agency, Quincy, CA, CCN 058258
• Seneca District Hospital Hospital, Chester, CA, CCN 051327
• Eastern Plumas Hospital - Portola Campus Hospital, Portola, CA, CCN 051300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Plumas Health Care District

  • Critical Access Hospital
  • Portola, CA
  • NPI 1245236850
  Medicare reassignment Care Compare group NPD
• Sierra ER Department Physicians Medical Group Inc.

  • Emergency Medicine Physician
  • Susanville, CA
  • NPI 1033570247
  Medicare reassignment NPD
• Seneca Healthcare District

  • Medicare Defined Swing Bed Hospital Unit
  • Chester, CA
  • NPI 1326234022
  Medicare reassignment
• Seneca Healthcare District

  • Critical Access Hospital
  • Chester, CA
  • NPI 1396848677
  Medicare reassignment
• Eastern Plumas Health Care Home Health

  • Home Health Agency
  • Portola, CA
  • NPI 1043216849
  NPD

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

• Eastern Plumas Health Care District

  dba Eastern Plumas Health Care

  • Critical Access Hospital
  • Portola, CA
  • NPI 1326044140
  Care Compare affiliation
• Eastern Plumas Health Care District

  dba Eastern Plumas Health Care

  • Critical Access Hospital
  • Portola, CA
  • NPI 1982600920
  Care Compare affiliation
• Quincy Home Medical Services

  • Home Health Agency
  • Quincy, CA
  • NPI 1306873351
  Care Compare affiliation
• Seneca Healthcare District

  • Critical Access Hospital
  • Chester, CA
  • NPI 1215116629
  Care Compare affiliation
• Seneca Healthcare District

  • Critical Access Hospital
  • Chester, CA
  • NPI 1396848677
  Care Compare affiliation

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1265601207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "CHESTER",
            "state": "CA",
            "postal_code": "960200476",
            "telephone_number": "925-324-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 JOAQUIN ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303628",
            "telephone_number": "530-257-2542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Spring Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Susanville",
            "state": "CA",
            "postal_code": "961306100",
            "country_code": "US",
            "telephone_number": "530-252-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Portola",
            "state": "CA",
            "postal_code": "961229406",
            "country_code": "US",
            "telephone_number": "530-832-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "MARC",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A  10672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aradala Marie Nelson
• Joshua Neubert
• Stephanie NG, PHARMD
• Pak Yan Ngai, PH.D.
• Ronnie Nicholas
• Richard Nielsen
• Timothy J Nolan, PH.D.
• Scott Douglas Nordstrom, LCSW
• Sarah Jennifer North, BSN, RN
• Northeastern Rural Health Clinics

• Family Medicine Physician in Susanville, CA
• Providers in Susanville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.