Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Warren Nielsen, PA-C

Individual provider Physician Assistant · NPI 1245505858

Andrew Warren Nielsen, PA-C is a Physician Assistant in Joint Base Lewis McChord, Washington. Graduated from University of Nebraska College of Medicine in 2012, 14 years ago. Practices with Clanton Enterprises Series LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Trained at
University of Nebraska College of Medicine
Licensed in
GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone: (253) 968-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 S Chestatee, Dahlonega, GA 30533-5503 — (706) 867-6005

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 12307 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 12307 (GA)

Record details

NPI number1245505858
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 14, 2012
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Clanton Enterprises Series Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Joint Base Lewis McChord