TY NIELSON
NPI 1871988980
Physician Assistant - Medical in Phoenix, AZ

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
84.04/100
CMS Quality Rating
4425 E AGAVE RD STE 148, PHOENIX, AZ 85044(480) 704-7546 Get Directions Write a Review

NPPES record last updated: August 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ty Nielson NPPES

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

TY NIELSON (NPI 1871988980) is an individual medical provider in Phoenix, Arizona and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871988980
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTY NIELSON
Location Address4425 E AGAVE RD STE 148Phoenix, AZ 85044-0623
Mailing Address4425 E Agave Rd Ste 148Phoenix, AZ 85044-0623
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateAugust 21, 2017
NPI 1871988980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4425 E AGAVE RD STE 148, Phoenix, AZ 85044

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

Ty Nielson 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 ID4587966486
PECOS Enrollment IDI20160108002541
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 7

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
534 services104 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.
145 services133 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
121 services115 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
55 services53 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
47 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost46.8

Other Providers at the Same Location NPPES 6

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

Physician Assistant
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044
Physician Assistant
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044
Dermatology
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044
Physician Assistant
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044
Dermatology
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044
Dermatology
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044

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 Ty Nielson's NPI number?

The NPI number for Ty Nielson is 1871988980. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Ty Nielson located?

Ty Nielson practices at 4425 E Agave Rd Ste 148, Phoenix, AZ 85044. The listed phone number is (480) 704-7546.

What is Ty Nielson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ty Nielson enrolled in Medicare?

Yes. Ty 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 Ty Nielson accept?

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

When was this NPI record last updated?

The NPPES record for Ty Nielson was last updated on August 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.