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JONATHAN NIS PAULSEN
NPI 1386007128
Emergency Medicine in Saint Louis, MO

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
3635 VISTA AVE, SAINT LOUIS, MO 63110(314) 577-8000 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 27, 2019, Jun 19, 2019, Mar 30, 2016 (3 updates tracked since 2016).

About Jonathan Nis Paulsen NPPES

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

JONATHAN NIS PAULSEN (NPI 1386007128) is an individual emergency medicine provider in Saint Louis, Missouri, licensed in California (A161512) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2016).

NPPES Registry Identity

NPI1386007128
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJONATHAN NIS PAULSEN
Location Address3635 VISTA AVESaint Louis, MO 63110-2539
Mailing Address4049 W Pine Blvd, Apt 101Saint Louis, MO 63108-3258 · (925) 451-6930
Phone(314) 577-8000
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2016
Enumeration DateMarch 30, 2016
Last NPPES UpdateNovember 27, 20193 updates tracked since enumeration
✔ NPI 1386007128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CA · A161512✔ Licensed in MO · 2019042333
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3635 VISTA AVE, Saint Louis, MO 63110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Jonathan Nis Paulsen 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 ID8123315736
PECOS Enrollment IDI20190806004214
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
357 services328 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
341 services328 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
153 services138 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.
127 services126 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

DR. CHRIS C.W. CHAN M.D.
Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8000
STEVEN NGUYEN M.D.
Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8000
DR. PUJAN H PATEL M.D. BS
Internal Medicine
3635 VISTA AVE, 7TH FLOOR DESLOGE TOWER
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8856
MICHAEL RYAN CAVALIER
Registered Nurse (Emergency)
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8777
JANET LAQUET PHARMD
Pharmacist (Oncology)
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 257-8516
TENET HEALTHSYSTEM SL, INC.
General Acute Care Hospital
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8000
NECAT HAVLIOGLU MD
Pathology (Anatomic Pathology & Clinical Pathology)
3635 VISTA AVE, SAINT LOUIS UNIVERSITY PATHOLOGY SERVICES
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8475
DR. DANIEL KEVIN HOLT MD
Radiology (Diagnostic Radiology)
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 268-5783

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 Jonathan Paulsen's NPI number?

The NPI number for Jonathan Paulsen is 1386007128. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Jonathan Paulsen located?

Jonathan Paulsen practices at 3635 Vista Ave, Saint Louis, MO 63110. The listed phone number is (314) 577-8000.

What is Jonathan Paulsen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jonathan Paulsen enrolled in Medicare?

Yes. Jonathan Paulsen 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 Jonathan Paulsen accept?

Health plans from Molina Healthcare list Jonathan Paulsen 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 Jonathan Paulsen was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.