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

Mr. Casey R Nelson, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1790827251

Mr. Casey R Nelson, PHYSICIANASSISTANT is a Physician Assistant in Salt Lake City, Utah. Qualified in 2006, 20 years ago. Practices with Orohealth Corporation a Non Profit Healthcare System, a 126-clinician group and accepts Medicare assignment. Licensed in Georgia and Utah.

Years since qualifying
20
Licensed in
GA, UT
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

50 N Medical Dr
Salt Lake City, UT 84132-1100
Phone: (801) 587-6340
Fax: (801) 587-6346
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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 7331309-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 004935 (GA)

Record details

NPI number1790827251
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESSeptember 1, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Orohealth Corporation A Non Profit Healthcare System — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Salt Lake City