Active NPI
Erik Christian Nilssen, M.D.
- Orthopaedic Surgery Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME99816
- Practice address
- 825 E Burgess Rd
Pensacola, FL 32504-7001 - Phone
- (850) 435-4800
- Fax
- (850) 916-3710
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 12345678 | AL | |
| Orthopaedic Surgery Physician | 207X00000X | ME99816 | FL | Primary |
Addresses
Primary practice location
825 E Burgess Rd
Pensacola, FL 32504-7001
Mailing address
1040 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-7809
Phone (850) 916-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05120 | Other | FL | BLUE CROSS BLUE SHIELD |
| 592-05518 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of South Florida College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11945 San Jose Blvd
Jacksonville, FL 32223-1627
Phone (904) 396-1725
4406 N Davis Hwy
Pensacola, FL 32503-2756
Phone (850) 435-4800
Hospital & facility affiliations
- HCA Florida West Hospital
- Baptist Hospital
- Sacred Heart Hospital
- Gulf Breeze Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12345678 | AL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Surgicare LLC | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Panhandle Outpatient Surgery Center | Current | Accepting new patients | |
| North Florida Surgeons, PA | Orthopaedic Surgery | Current | Accepting new patients |
| Andrews Sports Medicine and Orthopaedic Center | Past | Accepting new patients |
Locations
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
836 Prudential Dr
Ste 1001
Jacksonville, FL 32207
Phone (904) 398-0004
1502 Creighton Rd
Ste C
Pensacola, FL 32504
Phone (850) 437-3777
4406 N Davis Hwy
Pensacola, FL 32503
Phone (850) 434-1570
4012 N 9th Ave
Pensacola, FL 32503
Phone (850) 444-4777
1040 Gulf Breeze Pkwy
Ste 200
Pensacola Beach, FL 32561
Phone (850) 916-8711
Interoperability endpoints
- enilssen@andrewsortho.gwaydirect.com
- erik.nilssen.1@9109.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1033468442
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1346865078
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Birmingham, AL
- NPI 1679617526
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1457579435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PKWY",
"address_2": "SUITE 200",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617809",
"telephone_number": "850-916-3700",
"fax_number": "850-916-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E BURGESS RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047001",
"telephone_number": "850-435-4800",
"fax_number": "850-916-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILSSEN",
"first_name": "ERIK",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AL",
"license": "12345678",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME99816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "05120",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "592-05518",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.