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STANTON NIELSEN JR. D.O.
NPI 1700311560
Surgery in Evanston, IL

Active since April 28, 2017PECOS EnrolledAccepts Medicare Assignment
2650 RIDGE AVE STE 1304, EVANSTON, IL 60201(480) 338-1585 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2023, Apr 28, 2017 (2 updates tracked since 2017).

About Stanton Nielsen Jr. D.o. NPPES

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

STANTON NIELSEN JR. D.O. (NPI 1700311560) is an individual surgery provider in Evanston, Illinois, licensed in Illinois (036.163773) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2017).

NPPES Registry Identity

NPI1700311560
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSTANTON NIELSEN JR.Credential: D.O.
Location Address2650 RIDGE AVE STE 1304Evanston, IL 60201-1700
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686
Phone(480) 338-1585
Sole ProprietorYes
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2017
Enumeration DateApril 28, 2017
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1700311560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036.163773
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2650 RIDGE AVE STE 1304, Evanston, IL 60201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Stanton Nielsen Jr. 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 ID1951765536
PECOS Enrollment IDI20240815001773
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

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.

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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

EILEEN VERA
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 666-3494
MARIANA MCCUNE MD
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
ISRA HASNAIN
Family Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 666-3494
ANDIE KWON MD
Dermatology
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
DR. NICOLE RENEE PALMER MD, MPH
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-1010
ERIC COOPER
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
DR. OMKAR NITIN MORE MD
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
RICHARD WANG MD
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700

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 Stanton Nielsen's NPI number?

The NPI number for Stanton Nielsen is 1700311560. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Stanton Nielsen located?

Stanton Nielsen practices at 2650 Ridge Ave Ste 1304, Evanston, IL 60201. The listed phone number is (480) 338-1585.

What is Stanton Nielsen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Stanton Nielsen enrolled in Medicare?

Yes. Stanton 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 Stanton Nielsen accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Stanton 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.

When was this NPI record last updated?

The NPPES record for Stanton Nielsen was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.