Individual provider Active NPI

Jeffrey Winther Nielsen, M.D.

  • Nephrology Physician
  • Huntersville, NC
National Provider Identifier
1841244787
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
NC33413 Issued in NC
Practice address
9800 Kincey Ave Ste 150
Huntersville, NC 28078-8405
Phone
(704) 799-4909
Fax
(704) 971-0035
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NC33413 NC Primary

Addresses

Primary practice location

9800 Kincey Ave Ste 150
Huntersville, NC 28078-8405

Mailing address

3158 Freedom Dr Ste 3102
Charlotte, NC 28208-0014
Phone (704) 971-7099

Other identifiers 1

IdentifierTypeStateIssuer
89127R1MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnielsen66464@direct.acumenmd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040728001436 NC Practitioner - NephrologyPractitioner - Internal Medicine 4587634324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metrolina Nephrology Associates PAGroup PAC ID 8022916600, 85 clinicians

Practice addresses (Care Compare)

9800 Kincey Ave
Suite 150
Huntersville, NC 28078-8405
Phone (704) 766-1630

Hospital & facility affiliations

  • Lake Norman Dialysis Center Dialysis facility, Mooresville, NC, CCN 342606
  • Fresenius Medical Care Mallard Creek Dialysis facility, Charlotte, NC, CCN 342766
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33413NCMDPharmacist
NC33413NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Nephrology Associates, PA Nephrology CurrentSince Aug 1, 2008 Accepting new patients
Lynchburg Nephrology Physicians PLLC Past Accepting new patients

Locations

2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900

3158 Freedom Dr
Ste 3102
Charlotte, NC 28208
Phone (704) 731-6857

1300 Baxter St
Ste 215
Charlotte, NC 28204

2544 Court Dr
Ste F
Gastonia, NC 28054
Phone (704) 864-8302

9800 Kincey Ave
Ste 150
Huntersville, NC 28078
Phone (704) 766-1630

150 Fairview Rd
Ste 110
Mooresville, NC 28117
Phone (704) 658-9730

164 Professional Park Dr
Mooresville, NC 28117
Phone (704) 799-1860

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1841244787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 FREEDOM DR STE 3102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282080014",
            "telephone_number": "704-971-7099",
            "fax_number": "704-971-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 KINCEY AVE STE 150",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788405",
            "telephone_number": "704-799-4909",
            "fax_number": "704-971-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "JEFFREY",
        "middle_name": "WINTHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "NC33413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127R1",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnielsen66464@direct.acumenmd.com",
            "affiliation": "N",
            "endpointDescription": "Acumen Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CED",
            "address_1": "9800 Kincey Ave Ste 150",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280788405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.