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Callie Nielsen

NPI 1346089570ActiveIndividual· Physician Assistant· Provo, UT

Physician Assistant with Whole Mind LLC, practicing in Provo, Utah. Enrolled in Medicare as practitioner - physician assistant.

Overview

NPI1346089570
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 20, 2024
Last updated in NPPESOct 10, 2025
Certified by providerOct 10, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X—UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (UT)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Provo

All 156 physician assistants in Provo · All physician assistants in Utah