NPI age
17 years
Enumerated 2008-06-17
● Active
Type 1 · Individual
Travis Dale Nielsen, D.O.
Nielsen is 1 of 141 family medicine providers in Pocatello and 1 of 1691 in Idaho.
Primary specialty
Family Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-09-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1691 active family medicine providers in Idaho.
NPI age
17 years
≈ at median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Practice location
1951 Bench Rd, Suite B
Pocatello, ID 832012073
Mailing address
1951 Bench Rd, Suite B
Pocatello, ID 832012073
Specialties
-
Family Medicine PrimaryFamily 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | O-0554 | IDAHO BOARD OF MEDICINE REGISTRATION |
Practice context
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
Recently enumerated nearby: 11 new family medicine providers have been added in Pocatello in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.