MR. DANIEL A NIELSEN (OD) – Optometrist, NPI 1205980778

MR. DANIEL A NIELSEN (OD) is a healthcare provider. based in Urbana, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046009298 (IL). The NPI Number for MR. DANIEL A NIELSEN (OD) is 1205980778

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. DANIEL A NIELSEN (OD)
NPI
1205980778
Phone
Not provided
Address
611 W PARK ST
Enumeration Date
22 January 2007
Last Update Date
20 August 2016

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
2179022300
Graduation Year
2000 (26 years ago)
PAC ID
8820285075
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20101214000462
Address ID
IL618223743CH3103XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for MR. DANIEL A NIELSEN (OD)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 61801

    Phone:

    Fax: (217) 383-4752

    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)

CMS reports 30 Open Payments records for all available years, with a total value of $724.

Total Amount is formed as General ($724) + Research ($0) + Ownership ($0) = $724.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Horizon Therapeutics plc ($138).

Total Amount

$724

General + Research + Ownership

Payments

30

Total payment records

General Amount

$724

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-12-14

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
I20101214000462IOptometryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes214183$0
99214Established patient office or other outpatient visit, 30-39 minutes105104$0
99203New patient office or other outpatient visit, 30-44 minutes104104$0
92134Imaging of retina4949$0
99212Established patient office or other outpatient visit, 10-19 minutes4744$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

What unique ID ties claims to MR. DANIEL A NIELSEN (OD)?
NPI 1205980778 is assigned to MR. DANIEL A NIELSEN (OD) under the national enumeration system.
Is MR. DANIEL A NIELSEN (OD)'s NPI currently valid?
The extract we use shows MR. DANIEL A NIELSEN (OD) as active.
What does MR. DANIEL A NIELSEN (OD) treat or focus on?
Patients typically see MR. DANIEL A NIELSEN (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place MR. DANIEL A NIELSEN (OD)?
The snapshot lists Urbana, Illinois for MR. DANIEL A NIELSEN (OD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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