Individual provider

John Nielsen, M.D.

Family Medicine Physician Medicare enrolled

John Nielsen, M.D. is a Family Medicine Physician in Marinette, WI, registered under NPI 1003811415. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4061 OLD PESHTIGO RD, Marinette, WI 54143. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4061 OLD PESHTIGO RD, Marinette, WI 54143 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
J8333 TX Family Medicine Physician
75212-20 WI Family Medicine Physician primary

Licences are recorded in 2 states: TX, WI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
1254526072
Enrollment ID
I20210624003412

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Texas and Wisconsin. The practice address on file is in Marinette, WI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

TX Texas
Licence
J8333
Specialty
Family Medicine Physician
Verify with the TX board →
WI Wisconsin practice address
Licence
75212-20
Specialty
Family Medicine Physician
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician J8333 TX
207Q00000X Family Medicine Physician 75212-20 WI primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1003811415 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 14, 2005
Last updatedDec 10, 2024
StatusActive
Sole proprietorYes
GenderMale
CredentialM.D.
Practice address 4061 OLD PESHTIGO RD
Marinette, WI 54143
(715) 732-8050
Mailing address PO BOX 735044
Chicago, IL 60673
Other identifiers 099875903 · Medicaid (TX)
100170914 · Medicaid (WI)
8G9170 · Other (TX)
This record was updated on Dec 10, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1003811415 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 8 1 1 4 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 0 3 7 1 2 4 2

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003811415?
NPI 1003811415 is the National Provider Identifier assigned to John Nielsen, M.D. in Marinette, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact John Nielsen, M.D.?
The phone number on file with NPPES is (715) 732-8050, last updated Dec 10, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does John Nielsen, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1003811415 a valid number?
Yes. 1003811415 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.