DR. EARL FREDERICK NIELSEN (MD) – Nephrology Physician, NPI 1770550030

DR. EARL FREDERICK NIELSEN (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. MA026976 (NJ). The NPI Number for DR. EARL FREDERICK NIELSEN (MD) is 1770550030

Main info

Male
60 Years Of Experience
Accepts Medicare Assignment
Name
DR. EARL FREDERICK NIELSEN (MD)
NPI
1770550030
Phone
Not provided
Address
PO BOX 416457
Enumeration Date
7 March 2006
Last Update Date
27 September 2016

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
9739717165
Graduation Year
1966 (60 years ago)
PAC ID
3577526144
Group Practice PAC ID
5890703177
Professional Enrollment ID
I20050929000856
Address ID
NJ079608440MO435XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

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Provider Addresses for DR. EARL FREDERICK NIELSEN (MD)

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022416457

    Phone:

    Type: Mailing

  • 435, South Street, Morris Township, Morris County, New Jersey, 07960, United States

    SUITE 210

    MORRISTOWN, NJ 079606422

    Phone: (973) 971-7165

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,150.

Total Amount is formed as General ($1,150) + Research ($0) + Ownership ($0) = $1,150.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($378).

Total Amount

$1,150

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2005-09-29

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
I20050929000856IInternal MedicineNJTBD

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 minutes12490$0
99214Established patient office or other outpatient visit, 30-39 minutes10168$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2826$0
G0008Administration of influenza virus vaccine1818$0
90662Influenza vaccine split virus, preservative free1717$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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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: 5890703177View full group profile

Reviews

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Frequently asked questions

How do I look up DR. EARL FREDERICK NIELSEN (MD) by NPI?
Use NPI 1770550030 when you need to reference DR. EARL FREDERICK NIELSEN (MD) in forms, claims, or directories.
Is DR. EARL FREDERICK NIELSEN (MD) currently active in the NPI registry?
CMS-published data lists DR. EARL FREDERICK NIELSEN (MD) as an active registrant.
What kind of provider is DR. EARL FREDERICK NIELSEN (MD)?
The page reflects Nephrology Physician for DR. EARL FREDERICK NIELSEN (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. EARL FREDERICK NIELSEN (MD)?
The snapshot lists Boston, Massachusetts for DR. EARL FREDERICK NIELSEN (MD); 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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