Active NPI 1124393939 Individual Practitioner Male Practitioner

David E Nielson , PA-C

Physician Assistant • Boise, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

David Nielson, PA-C is a certified Physician Assistant practicing in Boise, ID. With approximately 15 years of clinical experience since graduating from Drexel University College Of Medicine in 2011, David Nielson delivers high-quality medical care to the local community at 190 E BANNOCK ST FL 10.

David Nielson is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include fusion of additional segment of spine, insertion of cage or mesh device to spine bone and disc space during spine fusion, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

190 E Bannock St Fl 10

Boise, ID 837126241

Telephone 2083815500

Fax 2083812555

Associated Practice Facility / Clinic

🏢 St Lukes Regional Medical Center Facility NPI 1770586794

Medicare Profile & Education

Medical School

Drexel University College Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boise, ID

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +4.9 yrs vs City Avg

City Avg: 10.1 Yrs

State Avg: 12.4 Yrs

Regional Practice Density

364 Specialists

Practicing in Boise, ID (1261 Statewide)

Telehealth Adoption Rate

12.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

99.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nielson (15 Years) 15 Yrs

Boise Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	36	18	$5913.12	$45.71
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	14	$3576.00	$28.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$1383.00	$119.64
22612 Fusion of spine in lower back	15	15	$24205.65	$182.18
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$20847.49	$65.99
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	12	$12621.98	$82.01
63267 Removal of growth of lower spine bone outside spine membrane	13	13	$21413.52	$143.86
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	12	$13861.29	$89.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$1716.00	$171.78
99441 Telephone medical discussion with physician, 5-10 minutes	18	17	$170.67	$43.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$395.92	$69.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$223.13	$44.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	63	36	$2039.13	$25.64
22614 Fusion of additional segment of spine	56	19	$2248.82	$47.50
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	33	33	$7092.02	$77.65
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$202.00	$72.30
22612 Fusion of spine in lower back	20	20	$8268.55	$194.78
22842 Placement of stabilizing device to back, 3-6 spine bone segments	18	17	$4620.43	$92.66
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$4207.33	$92.32
63267 Removal of growth of lower spine bone outside spine membrane	11	11	$7137.84	$128.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	48	15	$2248.82	$49.14
63048 Partial removal of spine bone with release of spinal cord and/or nerves	41	20	$2039.13	$26.51
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$202.00	$59.83
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	21	21	$7092.02	$75.48
22612 Fusion of spine in lower back	16	16	$8268.55	$200.33
63267 Removal of growth of lower spine bone outside spine membrane	14	14	$7137.84	$133.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$461.00	$129.56
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$4620.43	$96.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	37	19	$2039.13	$26.53
22614 Fusion of additional segment of spine	36	12	$2248.82	$49.11
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	26	25	$7092.02	$95.23
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$4620.43	$95.96
63267 Removal of growth of lower spine bone outside spine membrane	11	11	$7137.84	$154.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	38	12	$2248.82	$48.15
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	26	26	$7364.79	$98.51
63048 Partial removal of spine bone with release of spinal cord and/or nerves	19	14	$2065.96	$26.01
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	14	11	$1192.00	$31.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	56	17	$3252.75	$48.07
63048 Partial removal of spine bone with release of spinal cord and/or nerves	34	14	$2279.03	$25.93
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	22	14	$1788.00	$30.87
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$8333.12	$97.08
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$7140.66	$93.78
22612 Fusion of spine in lower back	11	11	$10523.61	$194.74

Medical Specialties & State Licenses

CMS Verified: 2025-12-10

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-1183

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License ID PA-1183

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1124393939 (ID)

Commercial Insurance / Payer ID Regence Blueshield Of Idaho

100001760728 (ID)

Commercial Insurance / Payer ID Blue Cross Of Idaho

PA734 (ID)

Hospital & Practice Group Affiliations

St Lukes Clinic-Treasure Valley Llc

190 E Bannock St, Boise, ID 837126241

Phone: 2083819384

St Lukes Clinic-Treasure Valley Llc

520 S Eagle Rd, Meridian, ID 836426355

St Lukes Clinic-Treasure Valley Llc

610 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

608 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

100 E Bannock St, Boise, ID 837126241

Phone: 2083812983

Secondary Practice Locations

6140 W Curtisian Ave Ste 400

Boise, ID 837048907

Phone: 2083275600

1825 S Kimball Ave

Caldwell, ID 836054828

Phone: 2083275600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners

Dr. Kenneth Little , MD

Neurological Surgery

NPI 1023039468

Doctor of Medicine (M.D.)

Dr. David Bray , MD

Neurological Surgery

NPI 1114381142

Doctor of Medicine (M.D.)

Kimberly Mrozek , PA-C

Physician Assistant - Medical

NPI 1164985867

Physician Assistant (Certified)

Alec Meyerhoeffer

Physician Assistant

NPI 1184322513

Angela Apreotesi

Physician Assistant

NPI 1184352213

Cody Johnson

Physician Assistant

NPI 1184392011

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location December 10, 2025

Registered at 190 E BANNOCK ST FL 10, BOISE, ID 837126241 (Tel: 2083815500)

📍

Updated Business Mailing Address December 10, 2025

Registered at 190 E BANNOCK ST, BOISE, ID 837126241

📍

Updated Practice Location September 22, 2020

Registered at 6140 W CURTISIAN AVE STE 400, BOISE, ID 837048907 (Tel: 2083275600)

📍

Updated Business Mailing Address September 22, 2020

Registered at 6140 W CURTISIAN AVE STE 400, BOISE, ID 837048907 (Tel: 2083275600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2020

Physician Assistant (License #PA-1183 in ID)

✅

NPI Profile Active August 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2014

Registered at 6140 W CURTISIAN AVE, STE 400, BOISE, ID 837048880 (Tel: 2083673500)

📍

Updated Business Mailing Address August 25, 2014

Registered at 6140 W CURTISIAN AVE, STE 400, BOISE, ID 837048880 (Tel: 2083673500)

👤

Provider Name / Credentials Updated August 25, 2014

Recorded as DAVID NIELSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2014

Physician Assistant (License #PA22176 in CA)

🟢

Initial NPI Registration & Enumeration March 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124393939

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 12, 2012

Last Update: December 10, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

190 E Bannock St

Boise, ID 837126241

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.