Active NPI
Rex Z Nilson, DPM
- Foot & Ankle Surgery Podiatrist
- Edmonds, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO00000340
- Practice address
- 7320 216TH St SW Ste 320B
Edmonds, WA 98026 - Phone
- (425) 775-6996
- Fax
- (425) 670-8905
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO00000340 | WA | Primary |
| Podiatrist | 213E00000X | PO0000034O | WA |
Addresses
Primary practice location
7320 216TH St SW Ste 320B
Edmonds, WA 98026
Mailing address
7320 216TH St SW Ste 320
Edmonds, WA 98026-8006
Phone (425) 673-3900
Other practice location 1
7315 212 st sw
suite 103
edmons, WA 98026
Phone (425) 775-6996
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004092 | Medicaid | WA | |
| 81436 | Other | WA | L&I |
| 1009272 | Medicaid | WA | |
| PO0000034O | Other | WA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7320 216TH St SW
Suite 320
Edmonds, WA 98026-8006
Phone (425) 673-3900
Hospital & facility affiliations
- Swedish Edmonds Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 74 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 423 |
| Removal or shaving of skin growth | 357 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO0000034O | WA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Past | Accepting new patients |
Locations
7320 216th St SW
Ste 320
Edmonds, WA 98026
Phone (425) 673-3900
7320 216th St SW
Ste 320B
Edmonds, WA 98026
Phone (425) 775-6996
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- rex.nilson.p131@direct.proliance.nextgenshare.com
- rex.nilson.p25@direct.proliance.nextgenshare.com
- rex.nilson.p24@direct.proliance.nextgenshare.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Physical Medicine & Rehabilitation Physician
- Everett, WA
- NPI 1417499575
-
- Otolaryngology Physician
- Burien, WA
- NPI 1114108784
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1386744324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 216TH ST SW STE 320",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268006",
"telephone_number": "425-673-3900",
"fax_number": "425-673-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 216TH ST SW STE 320B",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-775-6996",
"fax_number": "425-670-8905"
}
],
"practiceLocations": [
{
"address_1": "7315 212 st sw",
"address_2": "suite 103",
"address_purpose": "LOCATION",
"city": "edmons",
"state": "WA",
"postal_code": "98026",
"country_code": "US",
"telephone_number": "425-775-6996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NILSON",
"first_name": "REX",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO00000340",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO0000034O",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1004092",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "81436",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009272",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PO0000034O",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.