JILLIAN J NICKELSEN MD
NPI 1265406615
Hospitalist in Durango, CO

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
1010 THREE SPRINGS BLVD, DURANGO, CO 81301(970) 247-4311 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jillian J Nickelsen Md NPPES

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

JILLIAN J NICKELSEN MD (NPI 1265406615) is an individual hospitalist provider in Durango, Colorado, licensed in Colorado (DR.0037082) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1995).

NPPES Registry Identity

NPI1265406615
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameJILLIAN J NICKELSENCredential: MD
Location Address1010 THREE SPRINGS BLVDDurango, CO 81301-8296
Mailing Address1010 Three Springs BlvdDurango, CO 81301-8296 · (970) 247-4311
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1995
Enumeration DateFebruary 14, 2006
Last NPPES UpdateFebruary 4, 2026
NPPES CertifiedFebruary 4, 2026
NPI 1265406615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CO · DR.0037082
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0037082 (CO)
1010 THREE SPRINGS BLVD, Durango, CO 81301

Other Identifiers 1

Medicaid01370824CO

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

Jillian J Nickelsen Md 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 ID7911919618
PECOS Enrollment IDI20060621000116
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
194 services102 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
126 services76 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
109 services107 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services53 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
39 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers59 claims59 services$20.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers88 claims88 services$112.51 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 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 20

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

Nurse Practitioner (Family)
1010 THREE SPRINGS BLVD, STE 110
DURANGO, CO 81301
Internal Medicine (Critical Care Medicine)
1010 THREE SPRINGS BLVD, STE 110
DURANGO, CO 81301
Internal Medicine (Nephrology)
1010 THREE SPRINGS BLVD, STE 255
DURANGO, CO 81301
Anesthesiology
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
Hospitalist
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
Internal Medicine (Critical Care Medicine)
1010 THREE SPRINGS BLVD, STE 110
DURANGO, CO 81301
Internal Medicine (Nephrology)
1010 THREE SPRINGS BLVD, STE 255
DURANGO, CO 81301
Internal Medicine (Infectious Disease)
1010 THREE SPRINGS BLVD, STE 245
DURANGO, CO 81301

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 Jillian Nickelsen's NPI number?

The NPI number for Jillian Nickelsen is 1265406615. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Jillian Nickelsen located?

Jillian Nickelsen practices at 1010 Three Springs Blvd, Durango, CO 81301. The listed phone number is (970) 247-4311.

What is Jillian Nickelsen's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jillian Nickelsen enrolled in Medicare?

Yes. Jillian Nickelsen 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 Jillian Nickelsen accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Jillian Nickelsen 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 Jillian Nickelsen was last updated on February 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.