Jeffery James Nielsen, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301067557 Issued in MI

Practice address

800 S Washington Ave
Saginaw, MI 48601-2551

Phone

(989) 793-7220

Fax

(989) 793-7482

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jnielsen14723@mymichiganhealth.midirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mymichigan Medical Center Clare

  • General Practice Physician
  • Clare, MI
  • NPI 1134394026
  Medicare reassignment NPD
• Mymichigan Medical Center Gladwin

  • General Practice Physician
  • Gladwin, MI
  • NPI 1881869774
  Medicare reassignment NPD
• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490
  Medicare reassignment NPD
• Timberline Physicians, P.C.

  dba Timberline Emergency Physicians, P.C.

  • Specialist
  • Saginaw, MI
  • NPI 1265527246
  Authorized official Same address or phone
• Mymichigan Medical Center Clare

  dba MidMichigan Urgent Care - Clare

  • Urgent Care Clinic/Center
  • Clare, MI
  • NPI 1225081862
  NPD
• Mymichigan Medical Center Clare

  dba Emergency Room Physicians of Clare and Gladwin

  • Emergency Medicine Physician
  • Clare, MI
  • NPI 1962888180
  NPD
• Mymichigan Medical Center Gladwin

  dba Emergency Room Physicians of Clare and Gladwin

  • Emergency Medicine Physician
  • Gladwin, MI
  • NPI 1073999298
  NPD
• Mymichigan Medical Center Gladwin

  • Medicare Defined Swing Bed Hospital Unit
  • Gladwin, MI
  • NPI 1588374813
  NPD
• Mymichigan Medical Center Midland

  • Emergency Medicine Physician
  • Midland, MI
  • NPI 1386771053
  NPD
• Mymichigan Medical Center Midland

  • Anesthesiology Physician
  • Midland, MI
  • NPI 1649010455
  NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528194461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD",
            "address_2": "SUITE 302",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042846",
            "telephone_number": "989-793-7220",
            "fax_number": "989-793-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012551",
            "telephone_number": "989-793-7220",
            "fax_number": "989-793-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "JEFFERY",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301067557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4090697",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Nickell
• Thomasine Nickleberry
• Nicole Throop Counseling and Consulting PLLC
• Barbra Niedzielski
• Allison Joy Nielsen, MD, MS
• Lena Niernberg
• Shawna Irene Nievierowski, FNP-BC
• Charles Hooshmand Nightingale, MD
• Brittney Kristin Nigl
• Scott Zachary Nigl, D.D.S.

• Emergency Medicine Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.