JONATHAN C. NILSON MD
NPI 1659990760
Family Medicine in Austin, TX

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment
7011 RIBELIN RANCH RD STE 200, AUSTIN, TX 78750(512) 345-7436 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2023, Apr 9, 2020 (2 updates tracked since 2020).

About Jonathan C. Nilson Md NPPES

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

JONATHAN C. NILSON MD (NPI 1659990760) is an individual family medicine provider in Austin, Texas, licensed in Texas (U5775) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of South Florida College Of Medicine (2019).

NPPES Registry Identity

NPI1659990760
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN C. NILSONCredential: MD
Location Address7011 RIBELIN RANCH RD STE 200Austin, TX 78750-8585
Mailing Address7011 Ribelin Ranch Drive, Suite 200Austin, TX 78750-8585 · (512) 345-7436 · Fax (512) 346-7436
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2019
Enumeration DateApril 9, 2020
Last NPPES UpdateAugust 3, 20232 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
NPI 1659990760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · U5775 Licensed in FL · ME162557
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.

7011 RIBELIN RANCH RD STE 200, Austin, TX 78750

Secondary Practice Locations 2

Location 11640 Highland Falls Dr Ste 601Leander, TX 78641-4842 · Phone (512) 345-7436
Location 21800 SE Tiffany AvenuePort St. Lucy, FL 34952-7521 · Phone (772) 335-4000

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

Jonathan C. Nilson 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 ID1658794532
PECOS Enrollment IDI20230816004375
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 5

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.
163 services80 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
43 services15 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.
34 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78750 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Physician Assistant
7011 RIBELIN RANCH RD STE 200
AUSTIN, TX 78750
Internal Medicine (Pulmonary Disease)
7011 RIBELIN RANCH RD STE 200
AUSTIN, TX 78750
Physician Assistant
7011 RIBELIN RANCH RD STE 200
AUSTIN, TX 78750
Physician Assistant
7011 RIBELIN RANCH RD STE 200
AUSTIN, TX 78750
Physician Assistant
7011 RIBELIN RANCH RD STE 200
AUSTIN, TX 78750

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 Nilson's NPI number?

The NPI number for Jonathan Nilson is 1659990760. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Jonathan Nilson located?

Jonathan Nilson practices at 7011 Ribelin Ranch Rd Ste 200, Austin, TX 78750. The listed phone number is (512) 345-7436.

What is Jonathan Nilson's specialty?

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

Is Jonathan Nilson enrolled in Medicare?

Yes. Jonathan Nilson 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 Jonathan Nilson accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit, UnitedHealthcare and WellPoint list Jonathan Nilson 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 Jonathan Nilson was last updated on August 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.