Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780236109 Individual Practitioner Male Practitioner

Dr. Jonathan Michael Neilson , DNP

Nurse Practitioner - Pediatrics • Riverton, UT

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Neilson, DNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Riverton, UT. Practice services are available at 12391 S 4000 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12391 S 4000 W

Riverton, UT 840967012

Telephone 8013021700
Associated Practice Facility / Clinic
🏢 Granger Medical Clinic Inc Facility NPI 1881797876

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Riverton, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Riverton, UT (133 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-23
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License UT 9523151-4405

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License UT 9523151-4405

Definition to come...

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License UT 9523151-4405

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License UT 9523151-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License UT 9523151-3102

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Secondary Practice Locations

3336 S 4155 W

West Valley City, UT 84120

Phone: 8019129700

Practice Associates & Co-Workers

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

20 Associated Practitioners
NPI 1003029935

Doctor of Medicine (M.D.)

Adam Christiansen , PA-C

Physician Assistant

NPI 1073088969

Physician Assistant (Certified)

Brad Pulsipher , MSN-FNP

Nurse Practitioner - Primary Care

NPI 1073872909

MSNFNP

Aubrey George , FNP-C

Nurse Practitioner - Family

NPI 1083315220

Family Nurse Practitioner (Certified)

Jennifer Glazier , PA-C

Physician Assistant - Medical

NPI 1255771499

Physician Assistant (Certified)

Dr. William Warner , MD

Obstetrics & Gynecology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1265403463

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Business Mailing Address January 23, 2025

Registered at 2965 W 3500 S, WEST VALLEY CITY, UT 841193602 (Tel: 8019653600)

📍
Updated Practice Location May 24, 2022

Registered at 12391 S 4000 W, RIVERTON, UT 840967012 (Tel: 8013021700)

📍
Updated Business Mailing Address May 24, 2022

Registered at 7181 S CAMPUS VIEW DR STE 200, WEST JORDAN, UT 840844312 (Tel: 8019653505)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2022

Nurse Practitioner (License #9523151-4405 in UT)

📍
Updated Practice Location March 29, 2021

Registered at 3336 S 4155 W, WEST VALLEY CITY, UT 84120 (Tel: 8019129700)

📍
Updated Business Mailing Address September 09, 2020

Registered at 11447 S CHARTER POINTE RD, SOUTH JORDAN, UT 840957924 (Tel: 8018033855)

👤
Provider Name / Credentials Updated September 09, 2020

Recorded as JONATHAN NEILSON, DNP

NPI Profile Active July 16, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2019

Registered at 100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131103 (Tel: 8016623300)

📍
Updated Business Mailing Address July 16, 2019

Registered at 10851 S WYNVIEW LN, SOUTH JORDAN, UT 840958466 (Tel: 8018033855)

👤
Provider Name / Credentials Updated July 16, 2019

Recorded as JONATHAN NEILSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2019

Registered Nurse (License #9523151-3102 in UT)

🟢
Initial NPI Registration & Enumeration July 16, 2019

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: 1780236109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2019
Last Update: January 23, 2025
Sole Proprietor: Yes

Mailing Address

2965 W 3500 S

West Valley City, UT 841193602

Phone: 8019653600

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.