MICHAEL RAY NIELSON D.O.
NPI 1700225679
Family Medicine in Monticello, UT

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment
380 W. 100 NORTH, MONTICELLO, UT 84535(435) 587-2116 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2016, Oct 27, 2016 (2 updates tracked since 2016).

About Michael Ray Nielson D.o. NPPES

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

MICHAEL RAY NIELSON D.O. (NPI 1700225679) is an individual family medicine provider in Monticello, Utah, licensed in Utah (9551857-1204) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Moab Regional Hospital, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2013).

NPPES Registry Identity

NPI1700225679
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL RAY NIELSONCredential: D.O.
Location Address380 W. 100 NORTHMonticello, UT 84535
Mailing Address380 W. 100 NorthMonticello, UT 84535 · (435) 587-2116
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2013
Enumeration DateJune 24, 2013
Last NPPES UpdateNovember 1, 20162 updates tracked since enumeration
NPI 1700225679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 9551857-1204
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.
380 W. 100 NORTH, Monticello, UT 84535

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

Michael Ray Nielson D.o. 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 ID2264735455
PECOS Enrollment IDI20160121001817, I20160622000080
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.

Hospital Affiliations CMS Care Compare 3

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

Moab Regional Hospital

Critical Access Hospitals · Moab, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461302
Location450 West Williams WayMoab, UT 84532 · Grand County
Emergency services

San Juan Hospital

Critical Access Hospitals · Monticello, UT
OwnershipVoluntary non-profit - Other
CMS Certification Number461308
Location380 West 100 NorthMonticello, UT 84535 · San Juan County
Emergency services

Blue Mountain Hospital

Critical Access Hospitals · Blanding, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461310
Location802 South 200 WestBlanding, UT 84511 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84535 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 12

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier20 claims20 services$39.22 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers31 claims31 services$103.61 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers30 claims90 services$41.23 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers18 claims18 services$24.02 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers12 claims12 services$20.50 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers27 claims157 services$2.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michael Nielson's NPI number?

The NPI number for Michael Nielson is 1700225679. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Michael Nielson located?

Michael Nielson practices at 380 W. 100 North, Monticello, UT 84535. The listed phone number is (435) 587-2116.

What is Michael Nielson's specialty?

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

Is Michael Nielson enrolled in Medicare?

Yes. Michael Nielson 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 Michael Nielson accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Michael Nielson 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 Michael Nielson affiliated with any hospitals?

According to CMS data, Michael Nielson is affiliated with Moab Regional Hospital, San Juan Hospital and Blue Mountain Hospital.

When was this NPI record last updated?

The NPPES record for Michael Nielson was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.