DR. ERIK WAGNER NIELSEN M.D.
NPI 1003803834
Otolaryngology in Findlay, OH
About Dr. Erik Wagner Nielsen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ERIK WAGNER NIELSEN M.D. (NPI 1003803834) is an individual otolaryngology provider in Findlay, Ohio, licensed in Ohio (35068827) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Blanchard Valley Hospital, and is a graduate of Wayne State University School Of Medicine (1978).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Erik Wagner Nielsen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Erik Nielsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Findlay, OH 45840
- Reassigned Medicare billing, Ohio enrollment
- 120 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Blanchard Valley Hospital
Acute Care Hospitals · Findlay, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Erik Nielsen's NPI number?
The NPI number for Erik Nielsen is 1003803834. It was assigned to this individual provider in the NPPES registry on October 6, 2005.
Where is Erik Nielsen located?
Erik Nielsen practices at 1110 W Main Cross St, Findlay, OH 45840. The listed phone number is (419) 424-1393.
What is Erik Nielsen's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Erik Nielsen enrolled in Medicare?
Yes. Erik Nielsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Erik Nielsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erik Nielsen reassigns Medicare benefits to Specialty Physicians Of Blanchard Valley LLC (Findlay, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erik Nielsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erik Nielsen accept?
Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Erik Nielsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Erik Nielsen affiliated with any hospitals?
According to CMS data, Erik Nielsen is affiliated with Blanchard Valley Hospital.
When was this NPI record last updated?
The NPPES record for Erik Nielsen was last updated on September 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Erik Wagner Nielsen, M.D. · NPI 1003803834
Otolaryngology physician in Findlay, Ohio. Individual provider, active in the CMS NPPES registry since October 6, 2005.
## Identity
- **NPI:** 1003803834 (Entity type: Individual)
- **Enumerated:** October 6, 2005
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 35068827 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1110 W MAIN CROSS ST, Findlay, OH 45840-2423
- **Phone:** (419) 424-1393 · **Fax:** (419) 424-3424
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Specialty Physicians Of Blanchard Valley LLC (NPI 1689835415, Findlay, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 1978
## Record status
- **NPPES last updated:** September 17, 2009
- **Other identifiers:** Medicare UPIN B37170 (OH); Medicaid 0159555 (OH); Other 000000283044 (OH); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1003803834) · Data from the CMS NPPES public registry.