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

Jonathan Nis Paulsen

Individual provider Emergency Medicine Physician · NPI 1386007128

Jonathan Nis Paulsen is an Emergency Medicine in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 2016, 10 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
10
Trained at
Saint Louis University School of Medicine
Licensed in
CA, MO
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone: (314) 577-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A161512 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2019042333 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386007128
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2016
Last updated in NPPESNovember 27, 2019

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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