Zachary Nelson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7961867 Issued in ID

Practice address

1501 Hiland Ave Ste N
Burley, ID 83318-2688

Phone

(208) 678-2283

NPI assigned

May 26, 2023

Last updated

Sep 23, 2026By 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 2

Addresses

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care of Idaho LLCGroup PAC ID 8527381136, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zach.nelson.1@13153.direct.athenahealth.com
• Direct secure messaging: zach.nelson.1@16258.direct.athenahealth.com
• Direct secure messaging: znelson877649@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.

• Urgent Care of Idaho, LLC

  dba Urgent Care of Jerome

  • Urgent Care Clinic/Center
  • Jerome, ID
  • NPI 1538578687

  Family Medicine

  Medicare reassignment Care Compare group NPD
• River View Urgent Care & Medical Center Inc

  • Urgent Care Clinic/Center
  • Burley, ID
  • NPI 1790043693
  NPD
• Urgent Care of Idaho, LLC

  dba Urgent Care of Idaho - Burley

  • Urgent Care Clinic/Center
  • Burley, ID
  • NPI 1841972122

  Family Medicine

  NPD
• Minidoka Memorial Hospital

  dba Minidoka Medical Center

  • Rural Health Clinic/Center
  • Rupert, ID
  • NPI 1043387426
  NPD (past)

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1306539317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HILAND AVE STE N",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182688",
            "telephone_number": "208-678-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ZACHARY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRO-2293",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "7961867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mountain Medical Physician Specialists of Idaho PC
• Joshua Paul Munns, DPT
• Gilbert Fritz Murdoch, CRNA
• Jonathan Nash, CMHC, LCPC
• Mark Steven Nelson, LMSW
• New Horizons Mental Wellness Clinics
• Curtis Samuel Nielson, PA-C
• Logan Nielson, PA-C
• Thomas Andrew Nilsen, MS,PT
• Norco, Inc.

• Family Medicine Physician in Burley, ID
• Providers in Burley, ID by specialty
• Family Medicine Physician in Idaho

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