Individual provider Active NPI

Christopher Nelson, PA-C

  • Physician Assistant
  • Springville, UT
National Provider Identifier
1396154530
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7088 Issued in AZ
Practice address
376 E 400 S
Springville, UT 84663-1977
Phone
(801) 941-9355
Fax
(877) 268-1064
NPI assigned
Aug 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7088 AZ Primary

Addresses

Primary practice location

376 E 400 S
Springville, UT 84663-1977

Mailing address

376 E 400 S
Springville, UT 84663-1977
Phone (801) 941-9355

Other practice location 1

1934 N Highway 89
Chino Valley, AZ 86323-5643
Phone (928) 404-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20150430000628 UT Practitioner - Physician Assistant 0547482887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Plus Clinic IncGroup PAC ID 0244457471, 3 clinicians

Practice addresses (Care Compare)

376 E 400
Springville, UT 84663-1977
Phone (801) 491-9355

Hospital & facility affiliations

  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7088AZMDChiropractor

Interoperability endpoints

  • Direct secure messaging: cnelson@hpci-ut.direct.office.nextgen.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1396154530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631977",
            "telephone_number": "801-941-9355",
            "fax_number": "877-268-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631977",
            "telephone_number": "801-941-9355",
            "fax_number": "877-268-1064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1934 N Highway 89",
            "address_purpose": "LOCATION",
            "city": "Chino Valley",
            "state": "AZ",
            "postal_code": "863235643",
            "country_code": "US",
            "telephone_number": "928-404-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

Verify at the official NPI Registry.