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

Evan Scott Nielsen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043527260

Evan Scott Nielsen, MD is an Orthopedic Surgery in Provo, Utah. Graduated from University of Virginia School of Medicine in 2010, 16 years ago. Practices with Revere Health PC, a 410-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Trained at
University of Virginia School of Medicine
Licensed in
UT
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1055 N 500 W Ste 121
Provo, UT 84604-3305
Phone: (801) 373-7350
Fax: (801) 812-5401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 700 W 800 N Ste 100, Orem, UT 84057-6301 — (801) 373-7350
  • 555 W State Road 164, Salem, UT 84653-5732 — (801) 373-7350

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 6047358-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043527260
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 9, 2010
Last updated in NPPESNovember 27, 2023
Certification dateMarch 17, 2020

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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