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

Jon Alexander Nelson, DO

Individual provider Surgery Physician · NPI 1952714719

Jon Alexander Nelson, DO is a General Surgery in Phoenix, Arizona. Qualified in 2014, 12 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1441 N 12th St Fl 2
Phoenix, AZ 85006-2837
Phone: (602) 521-5969
Fax: (602) 521-5987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 008558 (AZ)

Record details

NPI number1952714719
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 9, 2014
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address1441 N 12th St Fl 2, Phoenix, AZ 85006-2837

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesENDOCRINOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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