MARK ANDREW NIELSEN (MD) – Urology Physician, NPI 1790873164

MARK ANDREW NIELSEN (MD) is a healthcare provider. based in Stuart, Florida. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 35.152092 (OH). The NPI Number for MARK ANDREW NIELSEN (MD) is 1790873164

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
MARK ANDREW NIELSEN (MD)
NPI
1790873164
Phone
(772) 419-4834
Address
200 SE Hospital Ave
Enumeration Date
11 October 2006
Last Update Date
18 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9375602011
Graduation Year
1980 (46 years ago)
PAC ID
7517988900
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20241108003188
Address ID
OH453423908MI4000XRDXX401

Contacts

FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Secure Messaging
mnielsen928849@direct.ketteringhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

897 UROLOGY in FL

Provider Addresses for MARK ANDREW NIELSEN (MD)

  • 200 SE Hospital Ave

    Stuart, FL 349942346

    Phone: (772) 419-4834

    Type: Location

  • 4000 Miamisburg Centerville Rd Ste 450

    Miamisburg, OH 453423908

    Phone: (937) 560-2011

    Type: Location

  • 917 1ST ST N APT 1202

    JACKSONVILLE BEACH, FL 322509109

    Phone: (936) 544-4498

    Type: Mailing

  • 522, Russell Boulevard, Nacogdoches, Nacogdoches County, Texas, 75965, United States

    NACOGDOCHES, TX 75965

    Phone: (936) 564-3030

    Type: Mailing

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: 2024-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20051213000654IUrologyTXTBD
I20190118002459IUrologyNMTBD
I20200929000044IUrologyPATBD
I20231012000612IUrologyFLTBD
I20241108003188IUrologyOHTBD

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 minutes4524$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2216$0
52332Insertion of stent in ureter using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 34994)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

Can I verify MARK ANDREW NIELSEN (MD) with an NPI only?
You can start verification with NPI 1790873164 for MARK ANDREW NIELSEN (MD), then check state licensing separately.
Does CMS list MARK ANDREW NIELSEN (MD) as active?
Yes — MARK ANDREW NIELSEN (MD) is active in the NPI listing used on this page.
What healthcare role does MARK ANDREW NIELSEN (MD) hold?
Scheduling teams often label MARK ANDREW NIELSEN (MD) under Urology Physician. Clinical services aligned with this taxonomy classification.
What area does MARK ANDREW NIELSEN (MD) serve?
MARK ANDREW NIELSEN (MD)'s listing highlights Stuart, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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