ROBERT NIELSON – Family Nurse Practitioner, NPI 1194413633

ROBERT NIELSON is a healthcare provider. based in Roosevelt, Utah. specializing in NURSE PRACTITIONER. They hold a License No. 9829616-4405 (UT). The NPI Number for ROBERT NIELSON is 1194413633

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT NIELSON
NPI
1194413633
Phone
Not provided
Address
1259 SPRUCE DR
Enumeration Date
24 April 2023
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4357224691
Graduation Year
2023 (3 years ago)
PAC ID
0345608402
Group Practice PAC ID
0244131944
Professional Enrollment ID
I20230621002891
Address ID
UT840662336RO250XX300X301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for ROBERT NIELSON

  • 1259 SPRUCE DR

    ROOSEVELT, UT 840663800

    Phone:

    Type: Mailing

  • 250 W 300 N

    ROOSEVELT, UT 840662336

    Phone: (435) 722-4691

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $1,045.

Total Amount is formed as General ($1,045) + Research ($0) + Ownership ($0) = $1,045.

Last reported payment date: 2024-05-04 • Largest payer in this snapshot: Boston Scientific Corporation ($1,045).

Total Amount

$1,045

General + Research + Ownership

Payments

5

Total payment records

General Amount

$1,045

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-06-21

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
I20230621002891INurse PractitionerUTTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1615$0
99238Hospital discharge day management, 30 minutes or less1111$0
View full utilization report →

Insurance plans in this area (ZIP 84066)

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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: 0244131944View full group profile
NameSpecialtyState
General SurgeryAK
Pediatric MedicineUT
Physician AssistantUT
Family PracticeUT
Nurse PractitionerUT
P A T H O L O G YIL
Family PracticeUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Physician AssistantUT
Radiation Oncology, Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyCA

Reviews

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Frequently asked questions

What identifier follows ROBERT NIELSON across health systems?
The NPI 1194413633 uniquely identifies ROBERT NIELSON in U.S. healthcare data.
Should I treat ROBERT NIELSON as an active provider?
Patients and plans typically see ROBERT NIELSON as active in the national extract.
What does the directory say ROBERT NIELSON does?
Insurance directories may phrase it differently, but here ROBERT NIELSON maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit ROBERT NIELSON in Roosevelt, Utah?
For routing, start with Roosevelt, Utah for ROBERT NIELSON, then verify phone and hours locally.
Can I export ROBERT NIELSON's record?
You can download the official NPPES record; we summarize key fields for readability.

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