AUSTIN STANLEY NIELSEN MD
NPI 1639631831
Family Medicine in Bloomington, IN

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
5921 W STATE ROAD 46, BLOOMINGTON, IN 47404(812) 935-8866 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 19, 2022, Apr 5, 2019 (2 updates tracked since 2019).

About Austin Stanley Nielsen Md NPPES

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

AUSTIN STANLEY NIELSEN MD (NPI 1639631831) is an individual family medicine provider in Bloomington, Indiana, licensed in Indiana (01087938A) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains a secondary practice location in Odessa.

NPPES Registry Identity

NPI1639631831
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameAUSTIN STANLEY NIELSENCredential: MD
Location Address5921 W STATE ROAD 46Bloomington, IN 47404-9359
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2018
Enumeration DateApril 5, 2019
Last NPPES UpdateJuly 19, 20222 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
NPI 1639631831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01087938A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5921 W STATE ROAD 46, Bloomington, IN 47404

Secondary Practice Location 1

Location 1701 W 5th StOdessa, TX 79763-4206 · Phone (432) 703-5238

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 and accepts Medicare assignment

Austin Stanley Nielsen Md 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 ID3779810239
PECOS Enrollment IDI20220721003435
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 11

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
294 services180 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.
82 services78 patients
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.
72 services56 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
50 services45 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
49 services44 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
39 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47404 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404
Nurse Practitioner (Family)
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404
Nurse Practitioner (Family)
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404
Internal Medicine
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404
Clinic/Center (Rural Health)
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404
Family Medicine
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404
Family Medicine
5921 W STATE ROAD 46
BLOOMINGTON, IN 47404

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 Austin Nielsen's NPI number?

The NPI number for Austin Nielsen is 1639631831. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Austin Nielsen located?

Austin Nielsen practices at 5921 W State Road 46, Bloomington, IN 47404. The listed phone number is (812) 935-8866.

What is Austin Nielsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Austin Nielsen enrolled in Medicare?

Yes. Austin 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.

What insurance does Austin Nielsen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Austin 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 Austin Nielsen affiliated with any hospitals?

According to CMS data, Austin Nielsen is affiliated with Indiana University Health Bloomington Hospital and Indiana University Health.

When was this NPI record last updated?

The NPPES record for Austin Nielsen was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.