Ethan Mark Nielsen , PA
Physician Assistant • Provo, UT
Professional Overview & Biography Verified Profile Summary
Ethan Nielsen, PA is a certified Physician Assistant practicing in Provo, UT. With approximately 1 years of clinical experience since completing medical education in 2025, Ethan Nielsen delivers high-quality medical care to the local community at 395 W BULLDOG BLVD.
Ethan Nielsen does not directly accept Medicare assignment.
Practice Location & Contact Primary Location
395 W Bulldog Blvd
Provo, UT 846043311
Medicare Profile & Education
Other
2025
Not Specified
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Provo, UT
Practicing in Provo, UT (1904 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
CMS Verified: 2025-11-21NUCC Taxonomy Code: 363A00000X
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.
NUCC Taxonomy Code: 363AM0700X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Nurse Practitioner
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 395 W BULLDOG BLVD, PROVO, UT 846043311 (Tel: 8013577081)
Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128
Recorded as ETHAN NIELSEN, PA
Physician Assistant (License #14245351-1206 in UT)
NPI status registered as active in NPPES database
Registered at 932 S 1520 W, OREM, UT 840595881 (Tel: 8019951704)
Registered at 932 S 1520 W, OREM, UT 840595881 (Tel: 8019951704)
Recorded as ETHAN NIELSEN
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 27128
Salt Lake City, UT 841270128
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