DR. GARRETT WILLIS NIELSON (DPM) – Podiatrist, NPI 1295256022

DR. GARRETT WILLIS NIELSON (DPM) is a healthcare provider. based in Georgetown, Texas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 3069 (TX). The NPI Number for DR. GARRETT WILLIS NIELSON (DPM) is 1295256022

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARRETT WILLIS NIELSON (DPM)
NPI
1295256022
Phone
(512) 553-1094
Address
4869 WILLIAMS DR STE 105
Enumeration Date
1 July 2017
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5127598220
Graduation Year
2017 (9 years ago)
PAC ID
6103242722
Group Practice PAC ID
7113359555
Professional Enrollment ID
I20250703003413
Address ID
TX786332432GE4869XDRXX301
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,097 PODIATRY in TX

Provider Addresses for DR. GARRETT WILLIS NIELSON (DPM)

  • 4869 WILLIAMS DR STE 105

    GEORGETOWN, TX 786332432

    Phone: (512) 553-1094

    Type: Location

  • 1111 E CESAR CHAVEZ ST

    AUSTIN, TX 787024209

    Phone: (512) 978-9309

    Type: Mailing

  • Truman Medical Center Lakewood, 7900, Lee's Summit Road, Kansas City, Jackson County, Missouri, 64139, United States

    KANSAS CITY, MO 641391236

    Phone: (816) 404-9597

    Fax: (816) 404-7721

    Type: Location

  • 2901 MONTOPOLIS DR

    AUSTIN, TX 787416411

    Phone: (512) 978-9901

    Type: Mailing

  • 211 COMAL ST

    AUSTIN, TX 787024326

    Phone: (512) 978-8130

    Fax: (512) 901-9765

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $486.

Total Amount is formed as General ($486) + Research ($0) + Ownership ($0) = $486.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Penumbra, Inc. ($268).

Total Amount

$486

General + Research + Ownership

Payments

9

Total payment records

General Amount

$486

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2025-07-03

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
I20250703003413IPodiatryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78633)

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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: 7113359555View full group profile
NameSpecialtyState
P O D I A T R YAZ
P O D I A T R YAZ
Nurse PractitionerAZ
P O D I A T R YTX
P O D I A T R YAZ
P O D I A T R YID
P O D I A T R YAZ
P O D I A T R YAZ
P O D I A T R YUT
P O D I A T R YAZ

Reviews

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Frequently asked questions

How do payers reference DR. GARRETT WILLIS NIELSON (DPM)?
For DR. GARRETT WILLIS NIELSON (DPM), use NPI 1295256022 as the unique 10-digit identifier.
Is there an active status for DR. GARRETT WILLIS NIELSON (DPM)?
For scheduling context, DR. GARRETT WILLIS NIELSON (DPM) is shown as active in the registry.
What area of care is associated with DR. GARRETT WILLIS NIELSON (DPM)?
DR. GARRETT WILLIS NIELSON (DPM)'s record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. GARRETT WILLIS NIELSON (DPM) associated with Georgetown?
Public fields place DR. GARRETT WILLIS NIELSON (DPM) around Georgetown, Texas. Always confirm the exact site before visiting.
Does DR. GARRETT WILLIS NIELSON (DPM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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