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

Jason Wayne Nielsen, MD

Individual provider Surgery Physician · NPI 1730400649

Jason Wayne Nielsen, MD is a General Surgery in Green Valley, Arizona. Qualified in 2010, 16 years ago. Practices with Tmc Medical Network, a 277-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Minnesota.

Years since qualifying
16
Licensed in
AZ, MN
In the registry since
2010
Specialties on file
3
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

1930 N La Canada Dr Ste 2
Green Valley, AZ 85614-4380
Phone: (520) 545-0592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10350 E Drexel Rd # 220, Tucson, AZ 85747-9405 — (520) 324-1727

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 56825 (AZ)
Surgery Physician Taxonomy 208600000X · Licence 54209 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MN)

Record details

NPI number1730400649
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2010
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address1930 N La Canada Dr Ste 2, Green Valley, AZ 85614-4380

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Tmc Medical Network — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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