JACOB NELSON DO
NPI 1144675679
Pediatrics in Saint Anthony, ID

Q: 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.

Q: What is Jacob Nelson's specialty?

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

Q: 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 8 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 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: August 23, 2026.

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

On this page

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

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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 Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

What insurance does Jacob Nelson accept?

Health plans from Providence Health Plan and Select Health 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 8 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.