DR. DOMINIQUE MICHAEL NIELSON DO
NPI 1437894938
Anesthesiology in Tucson, AZ

Active since April 29, 2022PECOS EnrolledAccepts Medicare Assignment
1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 626-7221(520) 626-6943 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 15, 2023, Apr 29, 2022 (2 updates tracked since 2022).

About Dr. Dominique Michael Nielson Do NPPES

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

DR. DOMINIQUE MICHAEL NIELSON DO (NPI 1437894938) is an individual anesthesiology provider in Tucson, Arizona, licensed in Arizona (R3765) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1437894938
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. DOMINIQUE MICHAEL NIELSONCredential: DO
Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330
Mailing Address1625 N Campbell AveTucson, AZ 85719-4330 · (520) 626-7221
Fax(520) 626-6943
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2022
Enumeration DateApril 29, 2022
Last NPPES UpdateJune 28, 20232 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1437894938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in AZ · R3765
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1625 N CAMPBELL AVE, Tucson, AZ 85719

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dominique Michael Nielson Do 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 ID2163808825
PECOS Enrollment IDI20260701004817
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.

Medicare Billing Reassignment

Medicare enrollment records show Dominique Nielson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nutrition, Education
535 N WILMOT RD STE 101
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 clinicians in this Medicare group

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

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.

Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Physician Assistant
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Nurse Practitioner (Acute Care)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medical Technician, Paramedic
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Anesthesiology
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Radiology (Diagnostic Radiology)
1625 N CAMPBELL AVE
TUCSON, AZ 85719

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 Dominique Nielson's NPI number?

The NPI number for Dominique Nielson is 1437894938. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Where is Dominique Nielson located?

Dominique Nielson practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 626-7221.

What is Dominique Nielson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Dominique Nielson enrolled in Medicare?

Yes. Dominique Nielson 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.

Which organization bills Medicare for Dominique Nielson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Nielson reassigns Medicare benefits to Banner-University Medical Group (Tucson, AZ). The 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 Dominique Nielson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dominique Nielson was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.