Active NPI
Christopher Nelson, PA-C
- Physician Assistant
- Springville, UT
National Provider Identifier
1396154530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7088
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
376 E 400
Springville, UT 84663-1977
Phone (801) 491-9355
Hospital & facility affiliations
- Intermountain Health Utah Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7088 | AZ | MD | Chiropractor |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Springville, UT
- NPI 1346650280
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.