JARED D NIELSON (FNP-C) – Family Nurse Practitioner, NPI 1902363831

JARED D NIELSON (FNP-C) is a healthcare provider. based in Port lavaca, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 6593690-3102 (UT). The NPI Number for JARED D NIELSON (FNP-C) is 1902363831

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JARED D NIELSON (FNP-C)
NPI
1902363831
Phone
(361) 582-7965
Address
815 N Virginia St
Enumeration Date
27 February 2019
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3615741888
Graduation Year
2018 (8 years ago)
PAC ID
2769864537
Group Practice PAC ID
3577785096
Professional Enrollment ID
I20220727001204
Address ID
TX779015776VI2705XDRXX308

Contacts

Secure Messaging
jared.nielson.1@8249.direct.athenahealth.com
Secure Messaging
jnielson@cmcvtx.org
Secure Messaging
jared.nielson.1@1902.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness95
Years active:7State licenses:3Other names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JARED D NIELSON (FNP-C)

  • 815 N Virginia St

    Port Lavaca, TX 779793025

    Phone: (361) 582-7965

    Type: Location

  • 2701 Hospital Dr

    Victoria, TX 779015748

    Phone: (361) 573-9181

    Type: Location

  • 2705 Hospital Dr Ste 400

    Victoria, TX 779015776

    Phone: (361) 582-7965

    Type: Location

  • 105 Spring Green Blvd Ste 500

    Victoria, TX 779047103

    Phone: (361) 582-5685

    Type: Location

  • 2603 Hospital Dr

    Victoria, TX 779015753

    Phone: (361) 574-1874

    Type: Location

  • 8206 N Navarro St

    Victoria, TX 779042606

    Phone: (361) 574-1515

    Type: Location

  • Water Fountain, Taylor Avenue, Louisville, Jefferson County, Kentucky, 40213, United States

    TAYLOR, UT 844019047

    Phone: (801) 941-5906

    Type: Mailing

  • 510 E RIO GRANDE ST

    VICTORIA, TX 779016033

    Phone: (361) 582-0185

    Fax: (361) 582-0262

    Type: Mailing

  • 506 E San Antonio St

    Victoria, TX 779016060

    Phone: (361) 575-7411

    Type: Location

  • 9006 N Navarro St Ste B

    Victoria, TX 779041566

    Phone: (361) 485-0021

    Fax: (361) 485-0035

    Type: Location

  • 2701 HOSPITAL DR

    VICTORIA, TX 779015749

    Phone: (361) 573-9181

    Fax: (361) 582-5743

    Type: Mailing

  • 2705 HOSPITAL DR STE 402

    VICTORIA, TX 779015777

    Phone: (361) 582-7965

    Type: Location

  • 1200 CARL RAMERT DR STE D

    YOAKUM, TX 779954834

    Phone: (361) 293-7061

    Fax: (361) 293-7892

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $789.

Total Amount is formed as General ($789) + Research ($0) + Ownership ($0) = $789.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Exact Sciences Corporation ($124).

Total Amount

$789

General + Research + Ownership

Payments

39

Total payment records

General Amount

$789

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2022-07-27

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
I20220727001204INurse PractitionerTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg32848$0
J0696Injection, ceftriaxone sodium, per 250 mg17635$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg16032$0
96372Injection of drug or substance under skin or into muscle14875$0
99213Established patient office or other outpatient visit, 20-29 minutes13694$0
View full utilization report →

Insurance plans in this area (ZIP 77979)

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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: 3577785096View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
Physician AssistantTX
-TX
Physician AssistantTX
Nurse PractitionerTX
-TX
Internal MedicineTX
Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is JARED D NIELSON (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists JARED D NIELSON (FNP-C) with NPI 1902363831.
Does CMS list JARED D NIELSON (FNP-C) as active?
Yes — JARED D NIELSON (FNP-C) is active in the NPI listing used on this page.
What is JARED D NIELSON (FNP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for JARED D NIELSON (FNP-C) here. Clinical services aligned with this taxonomy classification.
What area does JARED D NIELSON (FNP-C) serve?
JARED D NIELSON (FNP-C)'s listing highlights Port Lavaca, Texas; more addresses can appear in NPPES.
Is the information about JARED D NIELSON (FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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