Jacob Willard Nilsson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

203-T1 Issued in WY

Practice address

1522 E a St
Casper, WY 82601-2221

Phone

(307) 234-6161

NPI assigned

May 2, 2022

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 MT

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Billings Clinic Hospital Hospital, Billings, MT, CCN 270004

Procedures performed for Medicare patients

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.

• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment Care Compare group NPD
• Billings Clinic

  dba Billings Clinic Bozeman

  • Internal Medicine Physician
  • Bozeman, MT
  • NPI 1265648455

  Family Medicine

  NPD
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714

  Family Medicine

  NPD
• Billings Clinic

  dba Billings Clinic Hospital

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1265478291
  NPD (past)

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

• Billings Cinic

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1215660840
  Care Compare affiliation
• Billings Clinic

  dba Billings Clinic Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Billings, MT
  • NPI 1003953589

  Hospital

  Care Compare affiliation
• Billings Clinic

  dba Billings Clinic Heights

  • Family Medicine Physician
  • Billings, MT
  • NPI 1033164447

  Hospital

  Care Compare affiliation
• Billings Clinic

  dba Billings Clinic Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Billings, MT
  • NPI 1124310537

  Hospital

  Care Compare affiliation
• Billings Clinic

  dba Billings Clinic Hospital

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1265478291
  Care Compare affiliation
• Billings Clinic

  dba Billings Clinic Bozeman

  • Internal Medicine Physician
  • Bozeman, MT
  • NPI 1265648455

  Hospital

  Care Compare affiliation
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714

  Hospital

  Care Compare affiliation
• Billings Clinic

  dba Billings Clinic West

  • Internal Medicine Physician
  • Billings, MT
  • NPI 1871548289

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1376288506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012221",
            "telephone_number": "307-234-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012221",
            "telephone_number": "307-234-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSSON",
        "first_name": "JACOB",
        "middle_name": "WILLARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "203-T1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Newman, PT
• Joel Nicholls, PHARM.D.
• Cheryl A Nickerson, MOT/L
• Sandra Nielsen, COTA
• Grace Niemitalo, MSW, LCSW
• Kimberly Christine Nimmo, R.PH.
• John L Noffsinger, P.A.
• Lori Norby, RN
• David Copeland Norcross, M.D.
• Emily Jane Norris, LCSW

• Family Medicine Physician in Casper, WY
• Providers in Casper, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.