Individual provider Active NPI

Jason H Nielson, M.D.

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1477520575
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
11453 Issued in NV
Practice address
1525 E. Windmill Lane
Suite 201
Las Vegas, NV 89123-1903
Phone
(702) 434-6920
Fax
(702) 434-1524
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 11034571-1205 UT
Orthopaedic Surgery Physician 207X00000X 11453 NV Primary

Addresses

Primary practice location

1525 E. Windmill Lane
Suite 201
Las Vegas, NV 89123-1903

Mailing address

14 Daisy Meadow Terrace
Henderson, NV 89074-1500
Phone (702) 263-1199

Other practice location 1

1055 N 300 W Ste 301
Provo, UT 84604-3373
Phone (801) 357-7499

Other identifiers 1

IdentifierTypeStateIssuer
100506550MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060111000842 NV Practitioner - Orthopedic Surgery 1658394010 Reassigns benefits to 2 organizations
I20190613000959 UT Practitioner - Orthopedic Surgery 1658394010 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11453AZMDClinical Social Worker
11453NVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Bone and Spine Surgery, LLP CurrentSince Sep 1, 2006 Accepting new patients
NR Orthopedic and Rehab, LLC Orthopaedic Surgery CurrentSince Apr 4, 2026 Accepting new patients
Peak ENT Associates CurrentSince Jun 1, 2019 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

1525 E Windmill Ln
Ste 201
Las Vegas, NV 89123
Phone (702) 434-6920

7885 W Sunset Rd
Ste 100
Las Vegas, NV 89113
Phone (702) 840-2500

9050 W Cheyenne Ave
#110
Las Vegas, NV 89129
Phone (702) 998-5200

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1477520575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DAISY MEADOW TERRACE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741500",
            "telephone_number": "702-263-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E. WINDMILL LANE",
            "address_2": "SUITE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231903",
            "telephone_number": "702-434-6920",
            "fax_number": "702-434-1524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N 300 W Ste 301",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846043373",
            "country_code": "US",
            "telephone_number": "801-357-7499",
            "fax_number": "801-373-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "JASON",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "UT",
            "license": "11034571-1205",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "11453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506550",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.