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

Spencer L Nielson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417419227

Spencer L Nielson, DO is an Emergency Medicine in Buffalo, New York. Qualified in 2019, 7 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

955 Main St Ste 7230
Buffalo, NY 14203-1121
Phone: (716) 829-6124
Fax: (716) 829-3999
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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 02007915A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417419227
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address955 Main St Ste 7230, Buffalo, NY 14203-1121

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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