MR. GARY E NELSON PA-C
NPI 1629035795
Physician Assistant - Medical in Provo, UT

Active since May 01, 2006PECOS Enrolled
93.33/100
CMS Quality Rating
150 E CENTER ST, SUITE 1100, PROVO, UT 84606(801) 374-7011(801) 374-7009 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gary E Nelson Pa-c NPPES

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

MR. GARY E NELSON PA-C (NPI 1629035795) is an individual medical provider in Provo, Utah, licensed in Utah (105991-1206) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629035795
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. GARY E NELSONCredential: PA-C
Location Address150 E CENTER ST, SUITE 1100Provo, UT 84606-3106
Mailing Address150 E Center St, Suite 1100Provo, UT 84606-3106 · (801) 374-7011 · Fax (801) 374-7009
Fax(801) 374-7009
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateJanuary 2, 2013
NPI 1629035795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in UT · 105991-1206
150 E CENTER ST, Provo, UT 84606

Other Identifiers 5

Medicaid05664UT
Medicare PIN000061293UT
Medicare UPINS48215UT
Medicare PIN000061294UT
Medicare ID-Type Unspecified005521101UT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Gary E Nelson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services11 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services12 patients

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.

93.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.66
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
150 E CENTER ST, SUITE 1100
PROVO, UT 84606
Nurse Practitioner
150 E CENTER ST, SUITE 1100
PROVO, UT 84606
Dentist (General Practice)
150 E CENTER ST, SUITE 1100
PROVO, UT 84606
Social Worker (Clinical)
150 E CENTER ST
PROVO, UT 84606

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 Gary Nelson's NPI number?

The NPI number for Gary Nelson is 1629035795. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Gary Nelson located?

Gary Nelson practices at 150 E Center St Suite 1100, Provo, UT 84606. The listed phone number is (801) 374-7011.

What is Gary Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gary Nelson enrolled in Medicare?

Yes. Gary Nelson is registered in the Medicare PECOS enrollment system.

What insurance does Gary Nelson accept?

Health plans from Imperial Health Plan of the Southwest, Inc. list Gary Nelson 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 Gary Nelson was last updated on January 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.