Ryan David Nielsen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2577 Issued in NE

Practice address

1302 S 51St Ave
Omaha, NE 68106-2426

Phone

(402) 416-4490

NPI assigned

Mar 2, 2021

Last updated

Mar 2, 2021By 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

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inpatient Physician Associates Grand Island LLCGroup PAC ID 1254700495, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139
• Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032
• CHI Health St. Francis Hospital, Grand Island, NE, CCN 280023

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Inpatient Physician Associates Grand Island LLC

  • Hospitalist Physician
  • Grand Island, NE
  • NPI 1528796356
  Medicare reassignment Care Compare group
• Grand Island Regional Medical Center

  • Emergency Medicine Physician
  • Grand Island, NE
  • NPI 1225658495
  Medicare reassignment
• Inpatient Physician Associates, LLC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1699725358
  Medicare reassignment
• Grand Island Regional Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1558910604
  NPD (past)

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

• Grand Island Regional Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1558910604
  Care Compare affiliation
• Saint Francis Medical Center

  dba CHI Health St. Francis

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1982675955
  Care Compare affiliation
• The Mary Lanning Memorial Hospital Association

  dba Mary Lanning Healthcare Laboratory Services

  • Clinical Medical Laboratory
  • Hastings, NE
  • NPI 1205442258

  Hospital

  Care Compare affiliation
• The Mary Lanning Memorial Hospital Association

  dba Mary Lanning Healthcare

  • Rural Acute Care Hospital
  • Hastings, NE
  • NPI 1831203488
  Care Compare affiliation

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1922693969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 S 51ST AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062426",
            "telephone_number": "402-416-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S 51ST AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062426",
            "telephone_number": "402-416-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Nielsen
• Madison Nielsen
• Maija Nielsen, PHARMACIST
• Maria Sue Nielsen, MSW, LIMHP
• Nicole M Nielsen, PHARM.D.
• Sheila Anne Nielsen
• Shelly Denise Nielsen, M.S.
• Sherry Nielsen
• Stephanie Sue Nielsen, RDN, LMNT
• Stephen M Nielsen, M.D.

• Physician Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.