Individual provider Active NPI

Nathan Allan Nicholson

  • Orthopaedic Surgery Physician
  • Ottumwa, IA
National Provider Identifier
1972860476
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD-43975 Issued in IA
Practice address
1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone
(641) 684-3196
Fax
(641) 684-3199
NPI assigned
Apr 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD-43975 IA Primary

Addresses

Primary practice location

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427

Mailing address

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone (641) 684-3196

Other practice location 1

200 Hawkins Dr
Orthopaedic Surgery
Iowa City, IA 52242-1009
Phone (319) 356-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20170713003138 IA Practitioner - Orthopedic Surgery 0244479335 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pella Regional Health CenterGroup PAC ID 9931005873, shared by 10 NPIs, 96 clinicians

Practice addresses (Care Compare)

405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.84 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40
Cost
81.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-43975IAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ottumwa Health Group LLC Orthopaedic Surgery CurrentSince Jul 31, 2017 Accepting new patients
Pella Regional Health Center CurrentSince Oct 1, 2023 Accepting new patients
Pella Regional Health Center Current Accepting new patients
Pella Regional Health Center CurrentSince Oct 1, 2023 Accepting new patients
Ottumwa Health Group LLC CurrentSince Jul 31, 2017 Accepting new patients

Locations

920 N Quincy Ave
Ottumwa, IA 52501
Phone (641) 236-4323

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

405 Monroe St
Pella, IA 50219
Phone (641) 621-2200

1314 S Stuart St
Ste B
Sigourney, IA 52591
Phone (641) 622-1148

Organizations & group practices 5

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 5

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": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972860476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-684-3196",
            "fax_number": "641-684-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-684-3196",
            "fax_number": "641-684-3199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_2": "Orthopaedic Surgery",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-1616",
            "fax_number": "319-353-6754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "NATHAN",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "MD-43975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.