RYAN DAVID NIELSEN (PA-C) – Physician Assistant, NPI 1922693969

RYAN DAVID NIELSEN (PA-C) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2577 (NE). The NPI Number for RYAN DAVID NIELSEN (PA-C) is 1922693969

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
RYAN DAVID NIELSEN (PA-C)
NPI
1922693969
Phone
(402) 416-4490
Address
1302 S 51ST AVE
Enumeration Date
2 March 2021
Last Update Date
2 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024818566
Graduation Year
2020 (6 years ago)
PAC ID
8527456649
Group Practice PAC ID
1254700495
Professional Enrollment ID
I20211022000487
Address ID
NE688034409GR3533XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for RYAN DAVID NIELSEN (PA-C)

  • 1302 S 51ST AVE

    OMAHA, NE 681062426

    Phone: (402) 416-4490

    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: 2021-10-22

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
I20211022000487IPhysician AssistantNETBD

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 minutes216111$0
99239Hospital discharge day management, more than 30 minutes5954$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4621$0
99238Hospital discharge day management, 30 minutes or less3937$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2716$0
View full utilization report →

Insurance plans in this area (ZIP 68106)

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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: 1254700495View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineNE
Nurse PractitionerNE
H O S P I T A L I S TNE
Hospitalist, Internal MedicineNE
H O S P I T A L I S TSC
Hospitalist, Internal MedicineNE
Nurse PractitionerNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

Can I cross-check RYAN DAVID NIELSEN (PA-C) using NPI 1922693969?
NPI 1922693969 belongs to RYAN DAVID NIELSEN (PA-C); compare other details if you need extra assurance.
Active or inactive — what applies to RYAN DAVID NIELSEN (PA-C)?
You should see RYAN DAVID NIELSEN (PA-C) as active in CMS-hosted NPPES data.
What kind of doctor is RYAN DAVID NIELSEN (PA-C)?
RYAN DAVID NIELSEN (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with RYAN DAVID NIELSEN (PA-C)?
Directory geography for RYAN DAVID NIELSEN (PA-C) centers on Omaha, Nebraska.
When was this NPI issued?
Enumeration for RYAN DAVID NIELSEN (PA-C) is noted as March 2, 2021 where the registry provides it.

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