ALEX L NIELSON (MD) – Internal Medicine Physician, NPI 1174012355

ALEX L NIELSON (MD) is a healthcare provider. based in Vancouver, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD61130110 (WA). The NPI Number for ALEX L NIELSON (MD) is 1174012355

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ALEX L NIELSON (MD)
NPI
1174012355
Phone
(360) 514-7560
Address
100 E 33RD ST STE 100
Enumeration Date
3 May 2018
Last Update Date
24 March 2023

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3604239580
Graduation Year
2018 (8 years ago)
PAC ID
2567719404
Group Practice PAC ID
3375536436
Professional Enrollment ID
I20210618001957
Address ID
WA986322952LO1706XWAYX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for ALEX L NIELSON (MD)

  • 100, East 33rd Street, Vancouver, Clark County, Washington, 98663, United States

    VANCOUVER, WA 986632776

    Phone: (360) 514-7560

    Type: Location

  • KIRKPATRICK FAMILY CARE

    1706 WASHINGTON WAY

    LONGVIEW, WA 986322495

    Phone: (360) 423-0390

    Fax: (360) 577-3865

    Type: Location

  • 3240 NE 3rd Ave

    Camas, WA 986072408

    Phone: (360) 729-8234

    Fax: (360) 729-3337

    Type: Location

  • 100 E 33rd St Ste 100

    Vancouver, WA 986632776

    Phone: (360) 514-7560

    Type: Location

  • 3240 NE 3RD AVE

    CAMAS, WA 986072408

    Phone: (360) 729-8234

    Fax: (360) 729-3337

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 100 Open Payments records for all available years, with a total value of $2,280.

Total Amount is formed as General ($2,280) + Research ($0) + Ownership ($0) = $2,280.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($371).

Total Amount

$2,280

General + Research + Ownership

Payments

100

Total payment records

General Amount

$2,280

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

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: 2021-06-18

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
I20210618001957IFamily PracticeWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes311195$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg14425$0
36415Insertion of needle into vein for collection of blood sample4543$0
99213Established patient office or other outpatient visit, 20-29 minutes4339$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count3029$0
View full utilization report →

Insurance plans in this area (ZIP 98663)

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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: 3375536436View full group profile
NameSpecialtyState
Physician AssistantWA
Registered Dietitian Or Nutrition ProfessionalWA
-WA
Physician AssistantCO
Internal Medicine, Cardiovascular Disease (Cardiology)AZ
-TN
Physician AssistantWA
-WA
Physician AssistantWA
Internal MedicineWA

Reviews

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Frequently asked questions

What NPI should I save for ALEX L NIELSON (MD)?
Save NPI 1174012355 if you need a stable reference for ALEX L NIELSON (MD).
Does this profile mean ALEX L NIELSON (MD) is currently active?
Yes — ALEX L NIELSON (MD) appears active in the national provider directory.
Does ALEX L NIELSON (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for ALEX L NIELSON (MD). Clinical services aligned with this taxonomy classification.
Where is ALEX L NIELSON (MD)'s primary listing?
We display Vancouver, Washington because that is what the record indicates for ALEX L NIELSON (MD).
What if Vancouver, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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