DR. PAUL ROBERT NIELSEN MD, MS
NPI 1912187071
Family Medicine in Wooster, OH

Q: What is Paul Nielsen's NPI number?

The NPI number for Paul Nielsen is 1912187071. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Q: What is Paul Nielsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Nielsen was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since November 06, 2007PECOS EnrolledAccepts Medicare Assignment

128 E MILLTOWN RD, SUITE 105, WOOSTER, OH 44691(330) 345-8060(330) 345-5983 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Paul Robert Nielsen Md, Ms NPPES

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

DR. PAUL ROBERT NIELSEN MD, MS (NPI 1912187071) is an individual family medicine provider in Wooster, Ohio, licensed in Ohio (57-013174) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Wooster Community Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1912187071

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PAUL ROBERT NIELSENCredential: MD, MS

Location Address128 E MILLTOWN RD, SUITE 105Wooster, OH 44691-6109

Mailing Address128 E Milltown Rd, Suite 105Wooster, OH 44691-6109 · (330) 345-8060 · Fax (330) 345-5983

Phone(330) 345-8060

Fax(330) 345-5983

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateNovember 6, 2007

Last NPPES UpdateJuly 15, 2010

✔ NPI 1912187071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 57-013174

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.

128 E MILLTOWN RD, Wooster, OH 44691

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Robert Nielsen Md, Ms 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 ID941334510

PECOS Enrollment IDI20100818000403

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.

Medicare Billing Reassignments

Medicare enrollment records show Paul Nielsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Milltown Family Physicians, Inc.

Same address

Family Medicine

128 E MILLTOWN RD, STE. 105
Wooster, OH 44691

Reassigned Medicare billing, Ohio enrollment
13 clinicians in this Medicare group

NPI 1598975831 (330) 345-8060

Bloomington Medical Services LLC

1.6 mi

Internal Medicine

1761 BEALL AVE
Wooster, OH 44691

Reassigned Medicare billing, Ohio enrollment
126 clinicians in this Medicare group

NPI 1528246683 (330) 263-8428

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

726 services276 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

122 services13 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.

107 services92 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

88 services62 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

87 services47 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

61 services61 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

56 services56 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

53 services53 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

41 services31 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

22 services20 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

18 services16 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

17 services11 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number360036

Location1761 Beall AvenueWooster, OH 44691 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44691 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers40 claims73 services$6.36 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier16 claims504 services$7.07 avg. paid by Medicare

Hospital bed, fixed height, with any type side rails, with mattress E0250

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$55.56 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$15.18 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers13 claims13 services$47.16 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers23 claims23 services$106.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

DR. ANTHONY MICHAEL CALABRETTA M.D.

Surgery

128 E MILLTOWN RD, SUITE 101
WOOSTER, OH 44691

Wayne County (330) 287-2595

PAUL NIELSEN LLC

Family Medicine

128 E MILLTOWN RD, SUITE 105
WOOSTER, OH 44691

Wayne County (330) 345-8060

AMY S JOLLIFF MD

Family Medicine

128 E MILLTOWN RD, SUITE 105
WOOSTER, OH 44691

Wayne County (330) 345-8060

MILLTOWN MEDICAL ACUPUNCTURE LLC

Acupuncturist

128 E MILLTOWN RD, SUITE 105
WOOSTER, OH 44691

Wayne County (330) 345-8060

JOHN K MILLER MD

Family Medicine

128 E MILLTOWN RD, SUITE 105
WOOSTER, OH 44691

Wayne County (330) 345-8060

LAURA KIMBERLY WILKINSON RN, PMHCNS-BC

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)

128 E MILLTOWN RD, SUITE 202
WOOSTER, OH 44691

Wayne County (330) 345-6555

TAMERA LYNN ROBOTHAM M.D.

Surgery

128 E MILLTOWN RD, SUITE 101
WOOSTER, OH 44691

Wayne County (330) 287-2595

ERIN BARNER NP-C

Nurse Practitioner (Family)

128 E MILLTOWN RD
WOOSTER, OH 44691

Wayne County (330) 345-8060

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 Paul Nielsen's NPI number?

The NPI number for Paul Nielsen is 1912187071. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Where is Paul Nielsen located?

Paul Nielsen practices at 128 E Milltown Rd Suite 105, Wooster, OH 44691. The listed phone number is (330) 345-8060.

What is Paul Nielsen's specialty?

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

Is Paul Nielsen enrolled in Medicare?

Yes. Paul 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.

Which organizations bill Medicare for Paul Nielsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Nielsen reassigns Medicare benefits to 2 organizations: Milltown Family Physicians, Inc. (Wooster, OH) and Bloomington Medical Services LLC (Wooster, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Nielsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Nielsen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Paul 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.

Is Paul Nielsen affiliated with any hospitals?

According to CMS data, Paul Nielsen is affiliated with Wooster Community Hospital.

When was this NPI record last updated?

The NPPES record for Paul Nielsen was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.