Individual provider Active NPI

Erik Christian Nilssen, M.D.

  • Orthopaedic Surgery Physician
  • Pensacola, FL
National Provider Identifier
1457579435
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME99816 Issued in FL
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

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05120OtherFLBLUE CROSS BLUE SHIELD
592-05518OtherALBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000280 FL Practitioner - Orthopedic Surgery 7315039351 Reassigns benefits to 1 organization

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
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

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 Hospital, Pensacola, FL, CCN 100231
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
12345678ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Surgicare LLC Current Accepting new patients
North Florida Surgeons, PA CurrentSince Aug 1, 2022 Accepting new patients
Panhandle Outpatient Surgery Center Current Accepting new patients
North Florida Surgeons, PA Orthopaedic Surgery CurrentSince Aug 1, 2022 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

  • Direct secure messaging: enilssen@andrewsortho.gwaydirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.