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CALLIE NIELSEN
NPI 1346089570
Physician Assistant in Provo, UT

Active since May 20, 2024PECOS EnrolledAccepts Medicare Assignment
333 W 2230 N STE 225, PROVO, UT 84604(801) 477-7189 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Callie Nielsen NPPES

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

CALLIE NIELSEN (NPI 1346089570) is an individual physician assistant in Provo, Utah and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1346089570
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCALLIE NIELSEN
Location Address333 W 2230 N STE 225Provo, UT 84604-6709
Mailing Address333 W 2230 N Ste 225Provo, UT 84604-6709
Phone(801) 477-7189
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 20, 2024
Last NPPES UpdateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
✔ NPI 1346089570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
333 W 2230 N STE 225, Provo, UT 84604
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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

Callie Nielsen 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 ID1951894013
PECOS Enrollment IDI20251205003306
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 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. ALEX MAGENO MD
Psychiatry & Neurology (Psychiatry)
333 W 2230 N STE 225
PROVO, UT 84604
Utah County (385) 230-7799
LIFESTYLE MENTAL HEALTH
Psychiatry & Neurology (Psychiatry)
333 W 2230 N STE 225
PROVO, UT 84604
Utah County (385) 230-7799

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 Callie Nielsen's NPI number?

The NPI number for Callie Nielsen is 1346089570. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Callie Nielsen located?

Callie Nielsen practices at 333 W 2230 N Ste 225, Provo, UT 84604. The listed phone number is (801) 477-7189.

What is Callie Nielsen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Callie Nielsen enrolled in Medicare?

Yes. Callie 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.

When was this NPI record last updated?

The NPPES record for Callie Nielsen was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.