Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649900663 Individual Practitioner Female Practitioner

Katelyn Nielsen

Physician Assistant • Ontario, OR

Professional Overview & Biography Verified Profile Summary

Katelyn Nielsen is a certified Physician Assistant practicing in Ontario, OR. With approximately 6 years of clinical experience since completing medical education in 2020, Katelyn Nielsen delivers high-quality medical care to the local community at 840 SW 4TH AVE STE 105.

Katelyn Nielsen does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

840 Sw 4th Ave Ste 105

Ontario, OR 979142638

Telephone 4188926685
Fax 5418892997
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ontario, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -0.6 yrs vs City Avg
City Avg: 6.6 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Ontario, OR (2106 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nielsen (6 Years) 6 Yrs
Ontario Specialty Average (6.6 Years) 6.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA217656

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

NUCC Taxonomy Code: 363A00000X

State License ID PA2694

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500830651 (OR)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1477640944

Doctor of Medicine (M.D.)

NPI 1629135926

Doctor of Medicine (M.D.)

Nicole Heywood , PA-C

Physician Assistant

NPI 1831564954

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2026

Physician Assistant (License #PA217656 in OR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2024

Physician Assistant

📍
Updated Practice Location November 13, 2023

Registered at 840 SW 4TH AVE STE 105, ONTARIO, OR 979142638 (Tel: 4188926685)

📍
Updated Business Mailing Address November 13, 2023

Registered at 1441 NE 10TH AVE, PAYETTE, ID 836615420 (Tel: 2086429376)

NPI Profile Active June 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2022

Registered at 921 S 8TH AVE STOP 8253, POCATELLO, ID 832090002 (Tel: 2082824726)

📍
Updated Business Mailing Address June 13, 2022

Registered at 921 S 8TH AVE STOP 8253, POCATELLO, ID 832090002 (Tel: 2082824726)

👤
Provider Name / Credentials Updated June 13, 2022

Recorded as KATELYN NIELSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 13, 2022

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: 1649900663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2022
Last Update: January 14, 2026
Sole Proprietor: No

Mailing Address

1441 Ne 10th Ave

Payette, ID 836615420

Phone: 2086429376

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.