PHILLIP NIELSON (M.D.) – Family Medicine Physician, NPI 1205213378

PHILLIP NIELSON (M.D.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MM15440 (FL). The NPI Number for PHILLIP NIELSON (M.D.) is 1205213378

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP NIELSON (M.D.)
NPI
1205213378
Phone
Not provided
Address
4502 E 41ST ST
Enumeration Date
28 April 2015
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
3603773911
Graduation Year
2013 (13 years ago)
PAC ID
4789923590
Group Practice PAC ID
5991618738
Professional Enrollment ID
I20190221002621
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for PHILLIP NIELSON (M.D.)

  • 4502 E 41ST ST

    SUITE 2B30

    TULSA, OK 741352536

    Phone:

    Type: Mailing

  • 2150 SE SALERNO RD STE 200

    STUART, FL 349976572

    Phone: (772) 223-5757

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99214Established patient office or other outpatient visit, 30-39 minutes267193$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9090$0
G0444Annual depression screening, 5 to 15 minutes8787$0
99204New patient office or other outpatient visit, 45-59 minutes8282$0
99213Established patient office or other outpatient visit, 20-29 minutes8169$0
View full utilization report →

Insurance plans in this area (ZIP 74135)

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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: 5991618738View full group profile
NameSpecialtyState
Internal MedicineMN
Family Practice, HospitalistUT
-WA
-WA
Family PracticeWA
Internal MedicineNV
-WA
Hospitalist, Internal MedicineOH
Physician AssistantOR
Internal MedicineOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for PHILLIP NIELSON (M.D.)?
PHILLIP NIELSON (M.D.) — NPI 1205213378 — is the standard way to identify this listing.
Is PHILLIP NIELSON (M.D.) still practicing?
PHILLIP NIELSON (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes PHILLIP NIELSON (M.D.)?
For research purposes, treat PHILLIP NIELSON (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does PHILLIP NIELSON (M.D.) serve?
PHILLIP NIELSON (M.D.)'s listing highlights Tulsa, Oklahoma; more addresses can appear in NPPES.
Why does PHILLIP NIELSON (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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