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DR. JONATHAN MICHAEL NEILSON DNP
NPI 1780236109
Nurse Practitioner - Pediatrics in Riverton, UT

Active since July 16, 2019PECOS Enrolled
12391 S 4000 W, RIVERTON, UT 84096(801) 302-1700 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2022, Mar 29, 2021, Sep 9, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Jonathan Michael Neilson Dnp NPPES

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

DR. JONATHAN MICHAEL NEILSON DNP (NPI 1780236109) is an individual pediatrics provider in Riverton, Utah, licensed in Utah (9523151-4405) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in West Valley City.

NPPES Registry Identity

NPI1780236109
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameDR. JONATHAN MICHAEL NEILSONCredential: DNP
Location Address12391 S 4000 WRiverton, UT 84096-7012
Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600
Phone(801) 302-1700
Sole ProprietorYes
Enumeration DateJuly 16, 2019
Last NPPES UpdateJanuary 23, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1780236109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in UT · 9523151-4405
Also ListedRegistered NurseTaxonomy 163W00000X · License 9523151-3102 (UT)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 9523151-4405 (UT)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9523151-4405 (UT)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 9523151-4405 (UT)
12391 S 4000 W, Riverton, UT 84096
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Secondary Practice Location 1

Location 13336 S 4155 WWest Valley City, UT 84120 · Phone (801) 912-9700 · Fax (801) 912-9710

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.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)

Dr. Jonathan Michael Neilson Dnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84096 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.

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.

DR. MONICA CHILD WONNACOTT M.D.
Pediatrics
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
CHRISTOPHER J. JOLLES MD, PC
Specialist
12391 S 4000 W, STE 208
RIVERTON, UT 84096
Salt Lake County (801) 302-5360
APEX FAMILY & COSMETIC DENTISTRY
Dentist (General Practice)
12391 S 4000 W, SUITE 206
RIVERTON, UT 84096
Salt Lake County (801) 748-0379
MR. ADAM CODY CHRISTIANSEN PA-C
Physician Assistant
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
MR. BRAD ROBERT PULSIPHER MSN-FNP
Nurse Practitioner (Primary Care)
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
AUBREY ROCHELLE GEORGE FNP-C
Nurse Practitioner (Family)
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
GRANGER MEDICAL SPECIALISTS LLC
Clinic/Center (Multi-Specialty)
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
GARRETT KORDSIEMON PA-C
Physician Assistant (Medical)
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 965-3600

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 Neilson's NPI number?

The NPI number for Jonathan Neilson is 1780236109. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Jonathan Neilson located?

Jonathan Neilson practices at 12391 S 4000 W, Riverton, UT 84096. The listed phone number is (801) 302-1700.

What is Jonathan Neilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jonathan Neilson enrolled in Medicare?

Yes. Jonathan Neilson is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Neilson accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Jonathan Neilson 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 Neilson was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.