Diane Rae Nielsen, PA C - Pediatrics in Idaho Falls, ID

Diane Rae Nielsen, PA C is a Pediatrics physician based in Idaho Falls, Idaho. Diane Rae Nielsen is licensed to practice in Idaho (license number PA178) and her current practice location is 3430 Washington Parkway, Idaho Falls, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 523-3060.

NPI number for Diane Rae Nielsen is 1205940962 and her current mailing address is 3430 Washington Parkway, Idaho Falls, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205940962.

Contact Information

Diane Rae Nielsen, PA C
3430 Washington Parkway,
Idaho Falls, ID 83404
(208) 523-3060
(208) 523-0028



Physician's Profile

Full NameDiane Rae Nielsen
GenderFemale
SpecialityPediatrics
Location3430 Washington Parkway, Idaho Falls, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205940962
  • Provider Enumeration Date: 08/19/2006
  • Last Update Date: 09/10/2009

Medical Identifiers

Medical identifiers for Diane Rae Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205940962NPI-NPPES
PAKY2OtherIDBLUE CROSS
004378700MedicaidID
000010016257OtherIDBLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics PA178 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Rae Nielsen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Diane Rae Nielsen, PA C
3430 Washington Parkway,
Idaho Falls, ID 83404

Ph: (208) 523-3060
Diane Rae Nielsen, PA C
3430 Washington Parkway,
Idaho Falls, ID 83404

Ph: (208) 523-3060

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Pediatrics Doctors in Idaho Falls, ID

Shannon Jenkins, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2860 Channing Way, Suite 100, Idaho Falls, ID 83404
Phone: 208-535-4575    Fax: 208-535-4569
Eric Peter Olson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3430 Washington Parkway, Idaho Falls, ID 83404
Phone: 208-523-3060    Fax: 208-523-0028
Dr. Jeffrey John Aughney, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404
Phone: 208-523-3060    
Brad Reid Edwards, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404
Phone: 208-523-3060    Fax: 208-523-0028
Dr. Nephi Andersen Redd, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3320 S 25th E, Idaho Falls, ID 83404
Phone: 208-656-1500    
Dr. Joshua Michael Smith, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3910 Washington Pkwy, Idaho Falls, ID 83404
Phone: 208-523-1122    Fax: 208-523-2582
Dr. Steven Blake Colson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2330 Desoto St, Idaho Falls, ID 83404
Phone: 208-528-1039    Fax: 208-528-1939

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