1. Home
  2. Directory
  3. Idaho
  4. Saint Anthony
  5. Pediatrics
  6. NPI Profile

JACOB NELSON DO
NPI 1144675679
Pediatrics in Saint Anthony, ID

Active since May 03, 2016PECOS Enrolled
PO BOX 18, SAINT ANTHONY, ID 83445(208) 356-4900(208) 624-4112 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 19, 2025, Jun 21, 2019 (2 updates tracked since 2019).

About Jacob Nelson Do NPPES

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

JACOB NELSON DO (NPI 1144675679) is an individual pediatrics provider in Saint Anthony, Idaho, licensed in Idaho (O-1220) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2016).

NPPES Registry Identity

NPI1144675679
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJACOB NELSONCredential: DO
Location AddressPO BOX 18Saint Anthony, ID 83445-0018
Mailing AddressPo Box 18Saint Anthony, ID 83445-0018 · (208) 356-4900 · Fax (208) 624-4112
Phone(208) 356-4900
Fax(208) 624-4112
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2016
Enumeration DateMay 3, 2016
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1144675679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · O-1220
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
PO BOX 18, Saint Anthony, ID 83445
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1335 E Main St Ste 1Saint Anthony, ID 83445-1546 · Phone (208) 356-4900 · Fax (208) 624-4112
Location 272 S 1st E Ste 101Rexburg, ID 83440-1902 · Phone (208) 356-4900 · Fax (208) 356-3724
Location 32454 N 25th E Ste 101Idaho Falls, ID 83401 · Phone (208) 356-4900 · Fax (208) 612-6118

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans 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 (PECOS)

Jacob Nelson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941725451
PECOS Enrollment IDI20260309003131
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

2

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

Upper Valley Community Health Services Inc
1.3 mi
Federally Qualified Health Center (FQHC)
335 E MAIN ST STE 3
Saint Anthony, ID 83445
  • Reassigned Medicare billing, Idaho enrollment
  • 28 clinicians in this Medicare group
NPI 1396507190 (208) 356-4900
Chickasaw Nation Division Of Health
982 mi
Primary Care
1438 HARDCASTLE BLVD
Purcell, OK 73080
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
  • 324 clinicians in this Medicare group
NPI 1982764395 (405) 527-4700

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 83445 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
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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 Jacob Nelson's NPI number?

The NPI number for Jacob Nelson is 1144675679. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Where is Jacob Nelson located?

Jacob Nelson practices at PO Box 18, Saint Anthony, ID 83445. The listed phone number is (208) 356-4900.

What is Jacob Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacob Nelson enrolled in Medicare?

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

Which organizations bill Medicare for Jacob Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Nelson reassigns Medicare benefits to 2 organizations: Upper Valley Community Health Services Inc (Saint Anthony, ID) and Chickasaw Nation Division Of Health (Purcell, OK). Each 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 Jacob Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Nelson accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Jacob Nelson 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.

When was this NPI record last updated?

The NPPES record for Jacob Nelson was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.