Christian Nilsen, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP61171955 Issued in WA

Practice address

3908 Creekside Loop Ste 125
Yakima, WA 98902-4858

Phone

(509) 240-9660

Fax

(218) 217-4231

NPI assigned

Mar 21, 2017

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 26, 2021 through Oct 26, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1841721966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 CREEKSIDE LOOP STE 125",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024858",
            "telephone_number": "509-240-9660",
            "fax_number": "218-217-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 CREEKSIDE LOOP STE 125",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024858",
            "telephone_number": "509-240-9660",
            "fax_number": "218-217-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSEN",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61171955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE MEDICAL BOARD",
            "identifier": "OP61171955",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Nicoara, DO
• Nicolas K Reep DDS PS
• Jean Bernard Nicolas Jr.
• Michael Niemela, CO60707531
• Natalya Vladimirovna Nikolenko Sr., RPH
• Jennifer Anne-Marie Ninnemann, MSPT
• Cara Nippert
• Jedidiah John Nix, RBT
• Haley Noble, DPT, OCS
• Michael C Noble, OPTOMETRIC DOCTOR

• Family Medicine Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.