Active NPI
Jason H Nielson, M.D.
- Orthopaedic Surgery Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 11453
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100506550 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11453 | AZ | MD | Clinical Social Worker |
| 11453 | NV | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Bone and Spine Surgery, LLP | Current | Accepting new patients | |
| NR Orthopedic and Rehab, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Peak ENT Associates | Current | 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.
-
- Specialist
- Las Vegas, NV
- NPI 1689738981
-
- Physical Medicine & Rehabilitation Physician
- Las Vegas, NV
- NPI 1477412955
Orthopaedic Surgery
-
- Otolaryngology/Facial Plastic Surgery Physician
- Provo, UT
- NPI 1346489036
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1689611774
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.