Joshua Hinckley Nielson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6681743-1204 Issued in UT

Practice address

1478 East Highway 162
Montezuma Creek, UT 84534-0130

Phone

(435) 651-3700

Fax

(435) 678-0707

NPI assigned

Aug 9, 2005

Last updated

Nov 25, 2024By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in UT, NV2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

3LG Ventures IncGroup PAC ID 5496113789, 3 clinicians

Utah Navajo Health System IncorporatedGroup PAC ID 1658275649, shared by 4 NPIs, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Zion's Way Hospice Hospice, St George, UT, CCN 461559
• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
• Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082
• Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018
• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joshua.nielson.1@16098.direct.athenahealth.com
• Direct secure messaging: joshua.nielson.1@16299.direct.athenahealth.com
• Direct secure messaging: joshua.nielson.1@30543.direct.athenahealth.com

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.

• 3LG Ventures Inc

  dba Fallon Family Medicine

  • Primary Care Clinic/Center
  • Fallon, NV
  • NPI 1811606189
  Medicare reassignment Care Compare group NPD
• Blue Mountain Hospital

  • Critical Access Hospital Clinic/Center
  • Blanding, UT
  • NPI 1558513812
  Medicare reassignment NPD
• Utah Navajo Health System, Incorporated

  dba Montezuma Creek Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Montezuma Creek, UT
  • NPI 1811991151

  Family Medicine

  Medicare reassignment NPD
• Utah Navajo Health System, Incorporated

  dba Blanding Family Practice Community Health Center

  • Family Medicine Physician
  • Blanding, UT
  • NPI 1457489486
  NPD
• Utah Navajo Health System, Incorporated

  • Land Ambulance
  • Montezuma Creek, UT
  • NPI 1598198434
  NPD (past)
• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Teec Nos Pos, AZ
  • NPI 1477615789
  NPD (past)
• Pocatello Hospital LLC

  dba Portneuf Medical Center

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Red Rock Healthcare, Inc.

  dba Zion's Way Hospice

  • Community Based Hospice Care Agency
  • St George, UT
  • NPI 1669746525
  Care Compare affiliation
• Aiken Regional Medical Centers LLC

  dba Wound Care Center

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1447437157
  Care Compare affiliation
• Aiken Regional Medical Centers LLC

  dba Aiken Regional Medical Center

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1467448498
  Care Compare affiliation
• Aiken Regional Medical Centers, LLC.

  dba Aiken Regional Medical Centers Neuro Physician Services

  • Neurological Surgery Physician
  • Aiken, SC
  • NPI 1942610928

  Hospital

  Care Compare affiliation
• Eastern Idaho Health Services Inc

  dba Eastern Idaho Regional Medical Center

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1225082209
  Care Compare affiliation
• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  Care Compare affiliation
• University Health Services,Inc

  dba Piedmont Augusta Hospital

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1699776922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "MONTEZUMA CREEK",
            "state": "UT",
            "postal_code": "845340130",
            "telephone_number": "435-651-3700",
            "fax_number": "435-651-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 EAST HIGHWAY 162",
            "city": "MONTEZUMA CREEK",
            "state": "UT",
            "postal_code": "845340130",
            "telephone_number": "435-651-3700",
            "fax_number": "435-678-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "JOSHUA",
        "middle_name": "HINCKLEY",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "6681743-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03877361",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17532353",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314499",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Kent McCullough, M.D.
• Lindsey Rae McGarry, PHD
• Eugene L Meyer, RPH
• Chad Taylor Moses, PHARM. D
• Jesse Alvin Moses, PA-C
• Brian F Olsen, D.D.S
• Nicolette Joy Olsen, CMHC
• Cheyna Shumway Palmer, R.D.
• Deirdre M Piotrowski, MSW
• Swayzee Lei Ramage, FNP-C

• Family Medicine Physician in Montezuma Creek, UT
• Providers in Montezuma Creek, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.