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DR. JOHN CLARK NELSON MD
NPI 1073776787
Obstetrics & Gynecology - Gynecology in Centerville, UT

Active since July 03, 2008PECOS Enrolled
330 PARADISO LN, CENTERVILLE, UT 84014(801) 580-3523 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Clark Nelson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN CLARK NELSON MD (NPI 1073776787) is an individual gynecology provider in Centerville, Utah, licensed in Utah (151881-1205) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073776787
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. JOHN CLARK NELSONCredential: MD
Location Address330 PARADISO LNCenterville, UT 84014-2826
Mailing Address330 Paradiso LnCenterville, UT 84014-2826 · (801) 580-3523
Phone(801) 580-3523
Sole ProprietorYes
Enumeration DateJuly 3, 2008
✔ NPI 1073776787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in UT · 151881-1205
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
330 PARADISO LN, Centerville, UT 84014
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Clark Nelson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Nelson's NPI number?

The NPI number for John Nelson is 1073776787. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is John Nelson located?

John Nelson practices at 330 Paradiso Ln, Centerville, UT 84014. The listed phone number is (801) 580-3523.

What is John Nelson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is John Nelson enrolled in Medicare?

Yes. John Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Nelson was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.