Christian D Nilson, MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

6962612-1205 Issued in UT

Practice address

550 E 1400 N Ste P
Logan, UT 84341-2450

Phone

(435) 752-2020

Fax

(435) 752-5475

NPI assigned

May 3, 2007

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 UT, ID2 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

Ophthalmology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian D Nilson MD PCGroup PAC ID 3375619133, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franklin County Medical Center Hospital, Preston, ID, CCN 131322
• Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christian.nilson.1@17373.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 and National Provider Directory roles.

• Christian D Nilson MD PC

  • Ophthalmology Physician
  • Logan, UT
  • NPI 1417112715

  ID

  Medicare reassignment Care Compare group NPD Authorized official
• Northern Utah Eye Center

  • Eyewear Supplier
  • Logan, UT
  • NPI 1225330673
  NPD Authorized official
• South Pointe Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Logan, UT
  • NPI 1528453396
  NPD
• Franklin County Medical Center

  • Critical Access Hospital
  • Preston, ID
  • NPI 1548355811

  Ophthalmology

  NPD (past)

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

• Ihc Health Services Inc

  • General Acute Care Hospital
  • Logan, UT
  • NPI 1831108497
  Care Compare affiliation
• Franklin County Medical Center

  • Critical Access Hospital
  • Preston, ID
  • NPI 1548355811
  Care Compare affiliation

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1932321460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N STE P",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412450",
            "telephone_number": "435-752-2020",
            "fax_number": "435-752-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E 1400 N STE P",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412450",
            "telephone_number": "435-752-2020",
            "fax_number": "435-752-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSON",
        "first_name": "CHRISTIAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "6962612-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Nielsen, MS, CCC-SLP
• Stephanie Nielsen, MA
• Alexandra Ray Nielson
• Courtney Michaela Nielson
• Jeannine Deborah Nielson, MS
• Nolan a. White, D.C., P.C.
• Barry A Noorda, MD
• Cheryl Norr
• North Logan PDC PLLC
• Northern Utah Endoscopy Center

• Ophthalmology Physician in Logan, UT
• Providers in Logan, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.