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

Justin Nielsen

Individual provider Registered Nurse · NPI 1740727221

Justin Nielsen is a Certified Registered Nurse Anesthetist (CRNA) in Idaho Falls, Idaho. Qualified in 2017, 9 years ago. Practices with North Iowa Mercy Clinics, a 300-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone: (208) 557-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP60732499 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN60182254 (WA)

Record details

NPI number1740727221
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2017
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023
Mailing address2325 Coronado St, Idaho Falls, ID 83404-7407

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice North Iowa Mercy Clinics — 300 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Idaho Falls