JUSTIN GREGG NELSON PA-C
NPI 1790403178
Physician Assistant - Medical in Blackfoot, ID
About Justin Gregg Nelson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN GREGG NELSON PA-C (NPI 1790403178) is an individual medical provider in Blackfoot, Idaho, licensed in Idaho (4461378) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Bingham Memorial Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Justin Gregg Nelson Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bingham Memorial Hospital
Critical Access Hospitals · Blackfoot, IDOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLACKFOOT, ID 83221
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 Justin Nelson's NPI number?
The NPI number for Justin Nelson is 1790403178. It was assigned to this individual provider in the NPPES registry on August 22, 2022.
Where is Justin Nelson located?
Justin Nelson practices at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 785-4100.
What is Justin Nelson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Justin Nelson enrolled in Medicare?
Yes. Justin Nelson 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 Justin Nelson accept?
Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Justin Nelson 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 Justin Nelson affiliated with any hospitals?
According to CMS data, Justin Nelson is affiliated with Bingham Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Justin Nelson was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Justin Gregg Nelson, PA-C · NPI 1790403178
Medical physician in Blackfoot, Idaho. Individual provider, active in the CMS NPPES registry since August 22, 2022.
## Identity
- **NPI:** 1790403178 (Entity type: Individual)
- **Enumerated:** August 22, 2022
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 4461378 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 98 POPLAR ST, Blackfoot, ID 83221-1758
- **Phone:** (208) 785-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790403178) · Data from the CMS NPPES public registry.