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

Dominic Lee Van Nielen, MD

Individual provider Orthopaedic Surgery Physician · NPI 1184990590

Dominic Lee Van Nielen, MD is an Orthopedic Surgery in Monroe, Washington. Graduated from Tulane University School of Medicine in 2012, 14 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Washington.

Years since qualifying
14
Trained at
Tulane University School of Medicine
Licensed in
MD, WA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

19200 N Kelsey St
Monroe, WA 98272-1431
Phone: (425) 339-2433
Fax: (425) 339-8237
Show map & directions

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

Additional practice locations (1)

  • 1100 Pacific Ave Ste 300, Everett, WA 98201-4261 — (425) 339-2433

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence MD61002589 (WA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence D94626 (MD)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence MD61002589 (WA)

Record details

NPI number1184990590
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2012
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monroe