Gary E Nelson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

105991-1206 Issued in UT

Practice address

150 E Center St
Suite 1100
Provo, UT 84606-3106

Phone

(801) 374-7011

Fax

(801) 374-7009

NPI assigned

May 1, 2006

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 UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

94.4 of 100Reported as group

Quality

93.33

Promoting interoperability

100

Improvement activities

40

Cost

78.21

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• State of Utah

  • Psychiatric Hospital
  • Provo, UT
  • NPI 1811978620
  Medicare reassignment NPD
• Exodus Healthcare Network PLLC

  • Family Medicine Physician
  • Magna, UT
  • NPI 1306952783
  Medicare reassignment
• Health Clinics of Utah

  • Medical Physician Assistant
  • Ogden, UT
  • NPI 1225193584
  NPD
• Health Clinics of Utah

  • State or Local Public Health Clinic/Center
  • Provo, UT
  • NPI 1982669982
  NPD
• Intermountain Stroke Center, Inc.

  • Vascular Neurology Physician
  • Salt Lake City, UT
  • NPI 1467463489
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1629035795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E CENTER ST",
            "address_2": "SUITE 1100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063106",
            "telephone_number": "801-374-7011",
            "fax_number": "801-374-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E CENTER ST",
            "address_2": "SUITE 1100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063106",
            "telephone_number": "801-374-7011",
            "fax_number": "801-374-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "GARY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "105991-1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05664",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Nelson, RDN
• Amber Nelson, LAT, ATC
• Brooke Nelson
• Devon A Nelson, MD
• Duane James Nelson, M.D.
• I. William Nelson, MD,PC
• Jordan Nelson, MD
• Kelsie Nicole Nelson
• Madison Paige Nelson
• Melanie Nelson

• Medical Physician Assistant in Provo, UT
• Providers in Provo, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.

Verify at the official NPI Registry.