Mark Roland Nickle, FNP - Medicare Nurse Practitioner in Roy, UT

Mark Roland Nickle, FNP is a medicare enrolled "Nurse Practitioner - Family" in Roy, Utah. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Utah Kidney Clinic Llc and his current practice location is 5305 S 1900 W, Roy, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 825-5648.

Mark Roland Nickle is licensed to practice in Utah (license number 6234684-4405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134769342.

Contact Information

Mark Roland Nickle, FNP
5305 S 1900 W,
Roy, UT 84067-2906
(801) 825-5648
Not Available

Map and Direction




Provider's Profile

Full NameMark Roland Nickle
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location5305 S 1900 W, Roy, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Roland Nickle graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1134769342
  • Provider Enumeration Date: 01/15/2020
  • Last Update Date: 05/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092136234
  • Enrollment ID: I20200526003054

Medical Identifiers

Medical identifiers for Mark Roland Nickle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134769342NPI-NPPES
1134769342MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 6234684-4405 (Utah)Secondary
363LF0000XNurse Practitioner - Family 6234684-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Logan Regional HospitalLogan, UTHospital
Mckay Dee HospitalOgden, UTHospital
Brigham City Community HospitalBrigham city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Utah Kidney Clinic Llc77193060915

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Roland Nickle allows following entities to bill medicare on his behalf.
Entity NameUtah Kidney Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013520154
PECOS PAC ID: 7719306091
Enrollment ID: O20201006002557

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. Mark Roland Nickle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Roland Nickle, FNP
249 S 1050 E,
Layton, UT 84041-4499

Ph: (801) 663-3126
Mark Roland Nickle, FNP
5305 S 1900 W,
Roy, UT 84067-2906

Ph: (801) 825-5648

Reviews and Comments


Nurse Practitioner Nurses in Roy, UT

Tiffany Ann Miller,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5305 S 1900 W, Roy, UT 84067
Phone: 801-825-5648    
Mrs. Jenelle Marie Jensen, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3443 W 5600 S, Roy, UT 84067
Phone: 801-773-4840    
Jerrica Elizabeth Stoddard, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5640 S 3500 W, Roy, UT 84067
Phone: 801-773-2838    Fax: 801-773-3025
Kimberly Ann Greaves, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1915 W 5950 S, Roy, UT 84067
Phone: 801-387-8100    Fax: 801-387-8248
Marie Jo Borres,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2211 W 5100 S, Roy, UT 84067
Phone: 801-884-9154    
Mr. Phil H Johnson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3485 W 5200 S, Roy, UT 84067
Phone: 801-475-3900    Fax: 801-475-3901

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.