CORY JAY NIELSEN
NPI 1083279178
Psychiatry & Neurology - Psychiatry in Avondale, AZ

Q: What is Cory Nielsen's NPI number?

The NPI number for Cory Nielsen is 1083279178. It was assigned to this individual provider in the NPPES registry on May 5, 2019.

Q: What is Cory Nielsen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Cory Nielsen was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since May 05, 2019PECOS EnrolledAccepts Medicare Assignment

950 E VAN BUREN ST, AVONDALE, AZ 85323(833) 855-9973 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2026, Jun 3, 2024, May 5, 2019 (3 updates tracked since 2019).

On this page

About Cory Jay Nielsen NPPES

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

CORY JAY NIELSEN (NPI 1083279178) is an individual psychiatry provider in Avondale, Arizona, licensed in Arizona (009762) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2019).

NPPES Registry Identity

NPI1083279178

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameCORY JAY NIELSEN

Location Address950 E VAN BUREN STAvondale, AZ 85323-1506

Mailing Address8088 W Whitney DrPeoria, AZ 85345-6564

Phone(833) 855-9973

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2019

Enumeration DateMay 5, 2019

Last NPPES UpdateAugust 26, 20263 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1083279178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in AZ · 009762

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

950 E VAN BUREN ST, Avondale, AZ 85323

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12601 E Roosevelt StPhoenix, AZ 85008-4973 · Phone (623) 512-3181

Location 2570 W Brown RdMesa, AZ 85201-3227 · Phone (480) 344-2028

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.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

Cory Jay Nielsen 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.

PECOS PAC ID941745384

PECOS Enrollment IDI20240710002763

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.

Medicare Billing Reassignments

Medicare enrollment records show Cory Nielsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maricopa County Special Health Care District

Same address

Adult Mental Health

950 E VAN BUREN ST
Avondale, AZ 85323

Reassigned Medicare billing, Arizona enrollment
285 clinicians in this Medicare group

NPI 1043679327 (602) 344-2520

District Medical Group, Inc

18 mi

Pulmonary Disease

2525 E ROOSEVELT ST, MED CLINIC - PULMONARY
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1700119815 (602) 344-1095

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85323 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

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHASA JACKSON LCSW, DBH

Social Worker (Clinical)