Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREW D NIELSEN PA
NPI 1982494167
Physician Assistant in Meridian, ID

Q: What is Andrew Nielsen's NPI number?

The NPI number for Andrew Nielsen is 1982494167. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Q: What is Andrew Nielsen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Nielsen was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 May 09, 2025

3280 E LANARK DR, MERIDIAN, ID 83642(208) 895-8670(208) 955-0494 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, May 9, 2025 (2 updates tracked since 2025).

On this page

About Andrew D Nielsen Pa NPPES

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

ANDREW D NIELSEN PA (NPI 1982494167) is an individual physician assistant in Meridian, Idaho, licensed in Idaho (3481432) and active in the NPI registry since May 2025. He maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1982494167

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameANDREW D NIELSENCredential: PA

Location Address3280 E LANARK DRMeridian, ID 83642-5982

Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500 · Fax (208) 955-6501

Phone(208) 895-8670

Fax(208) 955-0494

Sole ProprietorNo

Enumeration DateMay 9, 2025

Last NPPES UpdateOctober 28, 20262 updates tracked since enumeration

NPPES CertifiedOctober 28, 2026

✔ NPI 1982494167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ID · 3481432

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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

3280 E LANARK DR, Meridian, ID 83642

Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 Novell PlProvo, UT 84606-6171 · Phone (801) 375-5125

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.

MELISSA MARIE PANNELL RN FNP-BC

Nurse Practitioner