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

Justin S. Nielsen, PAC

Individual provider Physician Assistant · NPI 1235443193

Justin S. Nielsen, PAC is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2009, 17 years ago. Practices with Mountain View Hospital LLC, a 267-clinician group and accepts Medicare assignment. Licensed in Iowa and Idaho.

Years since qualifying
17
Licensed in
IA, ID
In the registry since
2010
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2985 Cortez Ave
Idaho Falls, ID 83404-7554
Phone: (208) 523-3373
Fax: (208) 523-8746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1255 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 002097 (IA)

Record details

NPI number1235443193
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 3, 2010
Last updated in NPPESMarch 17, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mountain View Hospital Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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