Katelyn Nielsen

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA217656 Issued in OR

Practice address

840 SW 4TH Ave Ste 105
Ontario, OR 97914-2638

Phone

(418) 892-6685

Fax

(541) 889-2997

NPI assigned

Jun 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR, ID2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: knielsen681731@direct.ochin.org

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.

• Valley Family Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Payette, ID
  • NPI 1407886484
  Medicare reassignment NPD
• Valley Family Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Ontario, OR
  • NPI 1295415032
  Medicare reassignment NPD (past)
• Valley Family Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Emmett, ID
  • NPI 1932139995
  NPD
• Valley Family Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Nyssa, OR
  • NPI 1083641310
  NPD (past)

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1649900663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 NE 10TH AVE",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836615420",
            "telephone_number": "208-642-9376",
            "fax_number": "208-642-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SW 4TH AVE STE 105",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142638",
            "telephone_number": "418-892-6685",
            "fax_number": "541-889-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA217656",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA2694",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500830651",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry Colton Nebeker
• Sharmeen Nelson, M. D.
• Steven Kirk Nelson, RPH
• Shawn L Anthony Neumayer
• Gecko Rioux Newton
• Julie Noethe
• Nora F. de la Paz, M.D., P.C.
• Norco, Inc
• Judith Norris, FNP
• Randy H Norris, O.D.

• Physician Assistant in Ontario, OR
• Providers in Ontario, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.