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JOE R NIELSEN MD PC
NPI 1164723482
Clinic/Center in Bountiful, UT

Active since November 03, 2010CLIA 46D0522501 · Certificate of Compliance
415 MEDICAL DR, D-200, BOUNTIFUL, UT 84010(801) 292-6277(801) 292-1108 Get Directions Write a Review

NPPES record last updated: November 3, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Joe R Nielsen Md Pc NPPES

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

JOE R NIELSEN MD PC (NPI 1164723482) is a healthcare organization registered as a clinic/center in Bountiful, Utah and active in the NPI registry since November 2010. The organization holds a CLIA Certificate of Compliance certificate valid through October 19, 2027 and lists Joe R Nielsen, President, as its authorized official.

NPPES Registry Identity

NPI1164723482
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJOE R NIELSEN MD PC
Location Address415 MEDICAL DR, D-200Bountiful, UT 84010-4946
Mailing Address415 Medical Dr, D-200Bountiful, UT 84010-4946 · (801) 292-6277 · Fax (801) 292-1108
Phone(801) 292-6277
Fax(801) 292-1108
Organization SubpartNo
Authorized OfficialJoe R NielsenPresident · (801) 292-6277
Enumeration DateNovember 3, 2010
✔ NPI 1164723482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in UT · 178171-1205
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
415 MEDICAL DR, Bountiful, UT 84010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joe R Nielsen Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Joe R Nielsen MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joe Nielsen, M.D.
Dermatology
NPI 1992766885
415 MEDICAL DR #D-200
Bountiful, UT 84010
(801) 292-6277
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 46D0522501

Joe R Nielsen MD · Bountiful, UT
Active · expires Oct 19, 2027
CLIA Number46D0522501
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorJoe R. Nielsen MD
Laboratory Phone(801) 292-6277
Laboratory LocationJoe R Nielsen MD415 Medical Dr Ste D-200, Bountiful, UT 84010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Joe R Nielsen MD PC's NPI number?

The NPI number for Joe R Nielsen MD PC is 1164723482. It was assigned to this organization in the NPPES registry on November 3, 2010.

Where is Joe R Nielsen MD PC located?

Joe R Nielsen MD PC is located at 415 Medical Dr D-200, Bountiful, UT 84010. The listed phone number is (801) 292-6277.

What is Joe R Nielsen MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Joe R Nielsen MD PC enrolled in Medicare?

Yes. Joe R Nielsen MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Joe R Nielsen MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Joe R Nielsen MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Joe R Nielsen MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 46D0522501) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Joe R Nielsen MD PC accept?

Health plans from University of Utah Health Plans list Joe R Nielsen MD PC 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 Joe R Nielsen MD PC was last updated on November 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.