DAVID E NIELSON PA-C
NPI 1124393939
Physician Assistant in Boise, ID

Active since March 12, 2012PECOS EnrolledAccepts Medicare Assignment
71.93/100
CMS Quality Rating
190 E BANNOCK ST FL 10, BOISE, ID 83712(208) 381-5500(208) 381-2555 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2025, May 9, 2022, Sep 22, 2020 (3 updates tracked since 2020).

About David E Nielson Pa-c NPPES

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

DAVID E NIELSON PA-C (NPI 1124393939) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-1183) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124393939
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID E NIELSONCredential: PA-C
Location Address190 E BANNOCK ST FL 10Boise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241
Fax(208) 381-2555
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2011
Enumeration DateMarch 12, 2012
Last NPPES UpdateDecember 10, 20253 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
NPI 1124393939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ID · PA-1183
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA-1183 (ID)
190 E BANNOCK ST FL 10, Boise, ID 83712

Secondary Practice Locations 2

Location 16140 W Curtisian Ave Ste 400Boise, ID 83704-8907 · Phone (208) 327-5600 · Fax (208) 327-5602
Location 21825 S Kimball AveCaldwell, ID 83605-4828 · Phone (208) 327-5600 · Fax (208) 327-5602

Other Identifiers 3

Medicaid1124393939ID
Other100001760728ID · Regence Blueshield Of Idaho
OtherPA734ID · Blue Cross Of Idaho

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David E Nielson Pa-c 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 ID3072776368
PECOS Enrollment IDI20141103002556
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
36 services18 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
20 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
15 services15 patients
Placement of stabilizing device to back of 1 spine bone in neck 22840
This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.
14 services12 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Treasure Valley Hospital

Acute Care Hospitals · Boise, ID
OwnershipProprietary
CMS Certification Number130063
Location8800 West Emerald StreetBoise, ID 83704 · Ada County

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Mccall

Critical Access Hospitals · Mccall, ID
OwnershipProprietary
CMS Certification Number131312
Location1000 State StreetMccall, ID 83638 · Valley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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.

71.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.53
Promoting Interoperability100
Improvement Activities40
Cost10

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$33.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Neurological Surgery
190 E BANNOCK ST FL 10
BOISE, ID 83712
Nurse Practitioner
190 E BANNOCK ST FL 10
BOISE, ID 83712
Physician Assistant (Surgical)
190 E BANNOCK ST FL 10
BOISE, ID 83712
Physician Assistant
190 E BANNOCK ST FL 10
BOISE, ID 83712
Neurological Surgery
190 E BANNOCK ST FL 10
BOISE, ID 83712
Physician Assistant
190 E BANNOCK ST FL 10
BOISE, ID 83712
Physician Assistant
190 E BANNOCK ST FL 10
BOISE, ID 83712
Nurse Practitioner
190 E BANNOCK ST FL 10
BOISE, ID 83712

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124393939, enumerated as an "individual" on March 12, 2012.

The provider is located at 190 E BANNOCK ST FL 10 BOISE, ID 83712 and the phone number is (208) 381-5500.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to verify.

David Nielson is affiliated with: ST LUKE'S REGIONAL MEDICAL CENTER, TREASURE VALLEY HOSPITAL, ST LUKE'S NAMPA MEDICAL CENTER and ST LUKE'S MCCALL.