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CRAIG NIELSEN NP
NPI 1205926888
Nurse Practitioner - Adult Health in Aurora, CO

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: October 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Craig Nielsen Np NPPES

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

CRAIG NIELSEN NP (NPI 1205926888) is an individual adult health provider in Aurora, Colorado, licensed in Colorado (APN.0003581-NP) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1205926888
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameCRAIG NIELSENCredential: NP
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Phone(720) 848-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 13, 2006
Last NPPES UpdateOctober 20, 2018
✔ NPI 1205926888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CO · APN.0003581-NP
Also ListedNurse PractitionerTaxonomy 363L00000X · License 97793 (CO)
12605 E 16TH AVE, Aurora, CO 80045
Open in Google Maps ↗

Other Identifiers 1

Medicaid89735544CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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

Craig Nielsen Np 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 ID9537290895
PECOS Enrollment IDI20100630000306
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

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

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

KEVIN BRADLEY ROTHCHILD MD
Surgery (Trauma Surgery)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (303) 724-2728
DR. JONATHAN ORSBORN MD
Pediatrics (Pediatric Emergency Medicine)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
ERIN SLOUN FIELDS PHARMD
Pharmacist
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-4083
DR. JUAN PABLO IDROVO M.D.
Surgery (Surgical Critical Care)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (303) 724-8366
STACEY M JOHNSON APRN
Nurse Practitioner (Adult Health)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
ANDREA LYNNE HALL CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
KRISTI WHARTON SWIM FNP
Nurse Practitioner (Family)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
LAURA TIERNEY YOST CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000

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 Craig Nielsen's NPI number?

The NPI number for Craig Nielsen is 1205926888. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Craig Nielsen located?

Craig Nielsen practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Craig Nielsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Craig Nielsen enrolled in Medicare?

Yes. Craig Nielsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Craig Nielsen accept?

Health plans from Medica and UnitedHealthcare list Craig Nielsen 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 Craig Nielsen was last updated on October 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.