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

Michael Lee Nelson, PA

Individual provider Physician Assistant · NPI 1326298787

Michael Lee Nelson, PA is a Physician Assistant in Provo, Utah. Licensed in Iowa, Idaho, South Dakota and Utah. Registered with an NPI since 2008.

Licensed in
IA, ID, SD, UT
In the registry since
2008
Specialties on file
5
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1750 N Wymount Terrace Dr
Provo, UT 84602-1017
Phone: (801) 422-5156
Fax: (801) 422-0761
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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4884511-1206 (UT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0809 (SD)
Physician Assistant Taxonomy 363A00000X · Licence PA-2758 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA-758 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 002266 (IA)

Record details

NPI number1326298787
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 23, 2008
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address1750 N Wymount Terrace Dr, Provo, UT 84602-1017

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