MR. NELSON PARKS DOUGLASS MD
NPI 1912585357
Psychiatry & Neurology - Neurology in Salt Lake City, UT

Q: What is Nelson Douglass's NPI number?

The NPI number for Nelson Douglass is 1912585357. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Nelson Douglass's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Nelson Douglass was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment

175 N MEDICAL DR RM 5001, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Dec 29, 2025, Jun 11, 2025 and 2 more (5 updates tracked since 2021).

On this page

About Mr. Nelson Parks Douglass Md NPPES

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

MR. NELSON PARKS DOUGLASS MD (NPI 1912585357) is an individual neurology provider in Salt Lake City, Utah, licensed in Utah (14206306-1205) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912585357

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMR. NELSON PARKS DOUGLASSCredential: MD

Location Address175 N MEDICAL DR RM 5001Salt Lake City, UT 84112-1103

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 581-2121

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2021

Enumeration DateMarch 29, 2021

Last NPPES UpdateMay 13, 20265 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1912585357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in UT · 14206306-1205

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 14206306-1205 (UT)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

175 N MEDICAL DR RM 5001, Salt Lake City, UT 84112

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 984-1000

Location 25171 S Cottonwood St Ste 810Murray, UT 84107-5705 · Phone (801) 507-9800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah.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

Mr. Nelson Parks Douglass Md 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 ID4789112848

PECOS Enrollment IDI20250813003976

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.

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

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 9

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

AATQA MEMON

Psychiatry & Neurology (Neurology)