Curtis Samuel Nielson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-610 Issued in ID

Practice address

1404 Pomerelle Ave
Burley, ID 83318-2012

Phone

(208) 878-8783

Fax

(208) 878-8786

NPI assigned

May 1, 2007

Last updated

Jun 23, 2020By 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 ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pocatello Health Services LLCGroup PAC ID 6608927637, 171 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cnielson1259609@ahs.direct-ci.com

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.

• Pocatello Health Services, LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1689802852
  Medicare reassignment Care Compare group
• Sterling Provider Group

  • Urgent Care Clinic/Center
  • Idaho Falls, ID
  • NPI 1205300407
  Medicare reassignment
• Pocatello Health Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Pocatello, ID
  • NPI 1154089126
  NPD
• Pocatello Hospital LLC

  • Internal Medicine Physician
  • Pocatello, ID
  • NPI 1760610935
  NPD
• Urgent Care Associates PLLC

  • Preferred Provider Organization
  • Idaho Falls, ID
  • NPI 1609046408
  NPD
• Sterling Provider Group

  • Urgent Care Clinic/Center
  • Butte, MT
  • NPI 1871220038
  NPD
• PHS Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Pocatello, ID
  • NPI 1306524152
  NPD (past)
• Emergency Physicians Professional Association LTD

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1114931490
  NPD (past)
• Southwest Spine & Sports PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Scottsdale, AZ
  • NPI 1568556991
  NPD (past)
• Southwest Spine and Sports

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Glendale, AZ
  • NPI 1689993552
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1285855270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 TRIPLE CROWN",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832025039",
            "telephone_number": "208-241-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 POMERELLE AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182012",
            "telephone_number": "208-878-8783",
            "fax_number": "208-878-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Highway 30 W",
            "address_2": "Medical Department",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832047510",
            "country_code": "US",
            "telephone_number": "208-234-5373",
            "fax_number": "208-234-5493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 S Woodruff Ave",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834015285",
            "country_code": "US",
            "telephone_number": "208-542-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "CURTIS",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Fritz Murdoch, CRNA
• Jonathan Nash, CMHC, LCPC
• Mark Steven Nelson, LMSW
• Zachary Nelson, DO
• New Horizons Mental Wellness Clinics
• Logan Nielson, PA-C
• Thomas Andrew Nilsen, MS,PT
• Norco, Inc.
• Stewart Raymond North, D.O.
• Northland Hearing Center, Inc. (NuEar Hearing Center)

• Physician Assistant in Burley, ID
• Providers in Burley, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.