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JOEL A NIELSEN DO
NPI 1528070455
Radiology - Diagnostic Radiology in Weston, WI

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
3501 CRANBERRY BLVD, WESTON, WI 54476(715) 393-1000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joel A Nielsen Do NPPES

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

JOEL A NIELSEN DO (NPI 1528070455) is an individual diagnostic radiology provider in Weston, Wisconsin, licensed in Wisconsin (49321) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of Michigan State University College Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1528070455
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOEL A NIELSENCredential: DO
Location Address3501 CRANBERRY BLVDWeston, WI 54476-5213
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Phone(715) 393-1000
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2000
Enumeration DateAugust 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528070455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WI · 49321
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3501 CRANBERRY BLVD, Weston, WI 54476
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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

Joel A Nielsen 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 ID8123062692
PECOS Enrollment IDI20060829000269
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 Reassignments

4

Medicare enrollment records show Joel Nielsen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mchs Hospitals Inc
0.1 mi
Clinic/Center
3400 MINISTRY PKWY
Weston, WI 54476
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
NPI 1992336655 (715) 393-1000
Marshfield Clinic Inc
34 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Memorial Hospital, Inc
56 mi
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
NPI 1679746747 (715) 743-3101
Lakeview Medical Center Inc Of Rice Lake
106 mi
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1659008605 (715) 924-2000

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

Areas of Expertise CMS Part B claims 12

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.

X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
64 services63 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
64 services54 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
59 services52 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
44 services39 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
39 services29 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
36 services33 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520011
Location1700 West Stout StreetRice Lake, WI 54868 · Barron County
Emergency services Birthing friendly

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520202
Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County
Emergency services Birthing friendly

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520210
Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County
Emergency services Birthing friendly

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520212
Location9576 Highway 70Minocqua, WI 54548 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54476 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

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.

J F HERBERT R MACALALAD MD
Internal Medicine
3501 CRANBERRY BLVD
WESTON, WI 54476
Marathon County (715) 393-1000
DR. SANJAY KUMAR MD
Internal Medicine (Clinical Cardiac Electrophysiology)
3501 CRANBERRY BLVD
WESTON, WI 54476
Marathon County (715) 393-1000
PATRICK GORDON EARLL PAC
Physician Assistant
3501 CRANBERRY BLVD
WESTON, WI 54476
Marathon County (715) 847-3542
J GERARD MACDONALD MD
Otolaryngology
3501 CRANBERRY BLVD
WESTON, WI 54476
Marathon County (715) 847-3665
MARK D EARLL MD
Orthopaedic Surgery
3501 CRANBERRY BLVD
WESTON, WI 54476
Marathon County (715) 387-5202
MICHAEL J TROBEC D.O.
Family Medicine
3501 CRANBERRY BLVD
WESTON, WI 54476
Marathon County (715) 393-1000
DIANE M. JOYCE NP
Nurse Practitioner
3501 CRANBERRY BLVD
WESTON, WI 54476
Marathon County (715) 393-1000
MELISSA GOETTER MD
Obstetrics & Gynecology
3501 CRANBERRY BLVD
WESTON, WI 54476
Marathon County (715) 393-1000

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 Joel Nielsen's NPI number?

The NPI number for Joel Nielsen is 1528070455. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Joel Nielsen located?

Joel Nielsen practices at 3501 Cranberry Blvd, Weston, WI 54476. The listed phone number is (715) 393-1000.

What is Joel Nielsen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Joel Nielsen enrolled in Medicare?

Yes. Joel 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.

Which organizations bill Medicare for Joel Nielsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Nielsen reassigns Medicare benefits to 4 organizations: Mchs Hospitals Inc (Weston, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI) and Lakeview Medical Center Inc Of Rice Lake (Chetek, WI). Each 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 Joel Nielsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Nielsen accept?

Health plans from Sanford Health Plan list Joel Nielsen 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.

Is Joel Nielsen affiliated with any hospitals?

According to CMS data, Joel Nielsen is affiliated with Marshfield Medical Center - Rice Lake, Marshfield Medical Center, Marshfield Medical Center - Weston, Marshfield Medical Center - Eau Claire and Marshfield Medical Center - Minocqua.

When was this NPI record last updated?

The NPPES record for Joel Nielsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.