MR. CASEY R NELSON (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1790827251

MR. CASEY R NELSON (PHYSICIAN ASSISTANT) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 004935 (GA). The NPI Number for MR. CASEY R NELSON (PHYSICIAN ASSISTANT) is 1790827251

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. CASEY R NELSON (PHYSICIAN ASSISTANT)
NPI
1790827251
Phone
(801) 587-6340
Address
PO BOX 3208
Enumeration Date
13 February 2007
Last Update Date
1 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5305328654
Graduation Year
2006 (20 years ago)
PAC ID
0143325654
Group Practice PAC ID
4082501192
Professional Enrollment ID
I20140508001862
Address ID
CA959666118OR2767X350X400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for MR. CASEY R NELSON (PHYSICIAN ASSISTANT)

  • PO BOX 3208

    SALT LAKE CITY, UT 841103208

    Phone: (801) 587-6340

    Fax: (801) 587-6346

    Type: Mailing

  • 50, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States

    SALT LAKE CITY, UT 841321100

    Phone: (801) 587-6340

    Fax: (801) 587-6346

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 137 Open Payments records for all available years, with a total value of $3,441.

Total Amount is formed as General ($3,441) + Research ($0) + Ownership ($0) = $3,441.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($898).

Total Amount

$3,441

General + Research + Ownership

Payments

137

Total payment records

General Amount

$3,441

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2014-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20070411000437IPhysician AssistantGATBD
I20101015000788IPhysician AssistantUTTBD
I20140508001862IPhysician AssistantCATBD

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
17003Destruction of precancer skin growth, 2-14 growths21139$0
99213Established patient office or other outpatient visit, 20-29 minutes7367$0
11102Biopsy of related skin growth, first growth6058$0
11103Biopsy of related skin growth, each additional growth5431$0
17000Destruction of precancer skin growth, 1 growth5447$0
View full utilization report →

Insurance plans in this area (ZIP 84110)

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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: 4082501192View full group profile
NameSpecialtyState
Internal Medicine, HospitalistCA
General SurgeryCA
Physician AssistantCA
O P H T H A L M O L O G YCA
General SurgeryCA
Family PracticeCA
G A S T R O E N T E R O L O G YCA
Internal MedicineNV
N E P H R O L O G YNY
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Can I verify MR. CASEY R NELSON (PHYSICIAN ASSISTANT) with an NPI only?
You can start verification with NPI 1790827251 for MR. CASEY R NELSON (PHYSICIAN ASSISTANT), then check state licensing separately.
Does CMS list MR. CASEY R NELSON (PHYSICIAN ASSISTANT) as active?
Yes — MR. CASEY R NELSON (PHYSICIAN ASSISTANT) is active in the NPI listing used on this page.
What is MR. CASEY R NELSON (PHYSICIAN ASSISTANT)'s primary classification?
Physician Assistant is the headline specialty for MR. CASEY R NELSON (PHYSICIAN ASSISTANT) here. Clinical services aligned with this taxonomy classification.
What area does MR. CASEY R NELSON (PHYSICIAN ASSISTANT) serve?
MR. CASEY R NELSON (PHYSICIAN ASSISTANT)'s listing highlights Salt Lake City, Utah; more addresses can appear in NPPES.
Why does MR. CASEY R NELSON (PHYSICIAN ASSISTANT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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