JILLIAN J NICKELSEN (MD) – Hospitalist Physician, NPI 1265406615

JILLIAN J NICKELSEN (MD) is a healthcare provider. based in Durango, Colorado. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. DR.0037082 (CO). The NPI Number for JILLIAN J NICKELSEN (MD) is 1265406615

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
JILLIAN J NICKELSEN (MD)
NPI
1265406615
Phone
(970) 247-4311
Address
1010 THREE SPRINGS BLVD
Enumeration Date
14 February 2006
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
7197764780
Graduation Year
1995 (31 years ago)
PAC ID
7911919618
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20060621000116
Address ID
CO808635008WO41XXX67XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

927 HOSPITALIST in CO

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Provider Addresses for JILLIAN J NICKELSEN (MD)

  • Mercy Regional Medical Center, 1010, Three Springs Boulevard, Durango, La Plata County, Colorado, 81301, United States

    DURANGO, CO 813018296

    Phone: (970) 247-4311

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060621000116IHospitalistCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes197101$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes182106$0
99239Hospital discharge day management, more than 30 minutes111106$0
99291Critical care, first 30-74 minutes4933$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 81301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
Radiation OncologyTX
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicinePA

Reviews

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Frequently asked questions

Can I verify JILLIAN J NICKELSEN (MD) with an NPI only?
You can start verification with NPI 1265406615 for JILLIAN J NICKELSEN (MD), then check state licensing separately.
Can I rely on JILLIAN J NICKELSEN (MD) being an active provider?
As of the registry snapshot, JILLIAN J NICKELSEN (MD) is marked active.
What is JILLIAN J NICKELSEN (MD)'s primary classification?
Hospitalist Physician is the headline specialty for JILLIAN J NICKELSEN (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect JILLIAN J NICKELSEN (MD) on a map?
Expect Durango, Colorado as a primary anchor for JILLIAN J NICKELSEN (MD) unless the record lists multiple sites.
Why does JILLIAN J NICKELSEN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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