Individual provider Active NPI

Jonathan C. Nilson, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1659990760
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U5775 Issued in TX
Practice address
7011 Ribelin Ranch Rd Ste 200
Austin, TX 78750-8585
Phone
(512) 345-7436
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U5775 TX Primary
Family Medicine Physician 207Q00000X ME162557 FL

Addresses

Primary practice location

7011 Ribelin Ranch Rd Ste 200
Austin, TX 78750-8585

Mailing address

7011 Ribelin Ranch Drive
Suite 200
Austin, TX 78750-8585
Phone (512) 345-7436

Other practice location 1

1640 Highland Falls Dr Ste 601
Leander, TX 78641-4842
Phone (512) 345-7436

Other practice location 2

1800 SE Tiffany Avenue
Port St. Lucy, FL 34952-7521
Phone (772) 335-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230816004375 TX Practitioner - Family Practice 1658794532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Florida College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12005 Bee Caves Rd
V
Austin, TX 78738-6385
Phone (512) 225-0766

1640 Highland Falls Dr
Suite 601
Leander, TX 78641-4842
Phone (512) 345-7436

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

7011 Ribelin Ranch Rd
Suite 200
Austin, TX 78750-8585
Phone (512) 345-7436

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME162557FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince May 24, 2024 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince May 24, 2024 Accepting new patients
Lori Naglieri, MD, PA Family Medicine CurrentSince Sep 1, 2023 Accepting new patients

Locations

7011 Ribelin Ranch Rd
Ste 200
Austin, TX 78750
Phone (512) 345-7436

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1640 Highland Falls Dr
Ste 601
Leander, TX 78641
Phone (512) 345-7436

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: jonathan.nilson.1@8042.direct.athenahealth.com
  • Direct secure messaging: jonathan.nilson@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1659990760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 RIBELIN RANCH DRIVE",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508585",
            "telephone_number": "512-345-7436",
            "fax_number": "512-346-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 RIBELIN RANCH RD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508585",
            "telephone_number": "512-345-7436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Highland Falls Dr Ste 601",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786414842",
            "country_code": "US",
            "telephone_number": "512-345-7436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 SE Tiffany Avenue",
            "address_purpose": "LOCATION",
            "city": "Port St. Lucy",
            "state": "FL",
            "postal_code": "349527521",
            "country_code": "US",
            "telephone_number": "772-335-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NILSON",
        "first_name": "JONATHAN",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U5775",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME162557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.