JONATHAN KEITH NIELSEN MD
NPI 1477312957
Family Medicine in Provo, UT
About Jonathan Keith Nielsen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN KEITH NIELSEN MD (NPI 1477312957) is an individual family medicine provider in Provo, Utah, licensed in Utah (14237093-1205) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathan Keith Nielsen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Utah Valley Hospital
Acute Care Hospitals · Provo, UTPhysician 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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nielsen's NPI number?
The NPI number for Jonathan Nielsen is 1477312957. It was assigned to this individual provider in the NPPES registry on March 18, 2024.
Where is Jonathan Nielsen located?
Jonathan Nielsen practices at 395 W Cougar Blvd Ste 205, Provo, UT 84604. The listed phone number is (801) 357-1770.
What is Jonathan Nielsen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jonathan Nielsen enrolled in Medicare?
Yes. Jonathan Nielsen is registered in the Medicare PECOS enrollment system.
Is Jonathan Nielsen affiliated with any hospitals?
According to CMS data, Jonathan Nielsen is affiliated with Utah Valley Hospital.
When was this NPI record last updated?
The NPPES record for Jonathan Nielsen was last updated on November 12, 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.
# Jonathan Keith Nielsen, MD · NPI 1477312957
Family Medicine physician in Provo, Utah. Individual provider, active in the CMS NPPES registry since March 18, 2024.
## Identity
- **NPI:** 1477312957 (Entity type: Individual)
- **Enumerated:** March 18, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 14237093-1205 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 395 W COUGAR BLVD STE 205, Provo, UT 84604-3328
- **Phone:** (801) 357-1770
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 2024
## Record status
- **NPPES last updated:** November 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477312957) · Data from the CMS NPPES public registry.