Andrew Warren Nielsen, PA-C
NPI 1245505858ActiveIndividual· Physician Assistant, Medical· Joint Base Lewis McChord, WA
Physician Assistant, Medical (PA-C) in Joint Base Lewis McChord, Washington, trained at University of Nebraska College of Medicine (class of 2012). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1245505858 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 14, 2012 |
| Last updated in NPPES | Aug 6, 2025 |
| Certified by provider | Aug 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 12307 | GA |
| Physician Assistant | 363A00000X | 12307 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (UT) |
|---|
Education and affiliations
| Medical school | University of Nebraska College of Medicine |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Physician Assistant |
Medical group
- Clanton Enterprises Series LLCProvo, UT · 2 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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