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

Callie Nielsen

Individual provider Physician Assistant · NPI 1346089570

Callie Nielsen is a Physician Assistant in Provo, Utah. Qualified in 2025, 1 year ago. Practices with Whole Mind LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2024

Practice location Address checks out

333 W 2230 N Ste 225
Provo, UT 84604-6709
Phone: (801) 477-7189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (UT)

Record details

NPI number1346089570
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address333 W 2230 N Ste 225, Provo, UT 84604-6709

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Whole Mind Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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