Jacob Nelson, DO
NPI 1144675679 · Pediatrics Physician · Saint Anthony, ID
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Nelson, DO is a Pediatrics Physician provider in Saint Anthony, ID (NPI 1144675679).
Provider details
- NPI number
- 1144675679
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- O-1220 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 2454 N 25th E Ste 101Idaho Falls, ID 83401Phone: (208) 356-4900Fax: (208) 612-6118
- 72 S 1st E Ste 101Rexburg, ID 83440-1902Phone: (208) 356-4900Fax: (208) 356-3724
- 335 E Main St Ste 1Saint Anthony, ID 83445-1546Phone: (208) 356-4900Fax: (208) 624-4112
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2025-12-19
- Certified
- 2025-12-19
Frequently asked questions
- What is Jacob Nelson's NPI number?
- Jacob Nelson's National Provider Identifier (NPI) is 1144675679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Nelson's specialty?
- Jacob Nelson is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jacob Nelson located?
- Jacob Nelson's practice location on file with NPPES is Po Box 18, Saint Anthony, ID 83445-0018.
- What is Jacob Nelson's phone number?
- The practice phone number listed in the NPPES registry for Jacob Nelson is (208) 356-4900.
- Does Jacob Nelson accept Medicare?
- Jacob Nelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Nelson's NPI active?
- Yes — Jacob Nelson's NPI (1144675679) is active in the NPPES registry as of the last update on 2025-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.