Individual provider Active NPI

Duane James Nelson, M.D.

  • Specialist
  • Provo, UT
National Provider Identifier
1841296498
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1827901205 Issued in UT
Practice address
1055 N 300 W
Ste 204
Provo, UT 84604-3374
Phone
(801) 357-7373
Fax
(801) 357-7217
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1827901205 UT Primary

Addresses

Primary practice location

1055 N 300 W
Ste 204
Provo, UT 84604-3374

Mailing address

92 E 1960 N
Orem, UT 84057-7226

Other identifiers 1

IdentifierTypeStateIssuer
D2726MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DuaneNelson@direct-address.net

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070514000213 UT Practitioner - Ophthalmology 3274630025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
92.42
Promoting interoperability
100
Improvement activities
40
Cost
73.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1827901205UTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Valley Eye Center Inc Specialist CurrentSince Jul 1, 2011 Accepting new patients

Locations

1067 N 500 W
Provo, UT 84604
Phone (801) 356-6002

1055 N 300 W
Ste 204
Provo, UT 84604
Phone (801) 357-7373

Interoperability endpoints

  • Direct secure messaging: duanenelson@direct-address.net

Organizations & group practices 1

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1841296498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 E 1960 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840577226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W",
            "address_2": "STE 204",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043374",
            "telephone_number": "801-357-7373",
            "fax_number": "801-357-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DUANE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "1827901205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D2726",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DuaneNelson@direct-address.net",
            "affiliation": "N",
            "address_1": "1055 N 300 W",
            "address_2": "Ste 204",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846043374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.