Nicole Nielsen Davis, MD - Medicare Family Medicine in Salt Lake City, UT

Nicole Nielsen Davis, MD is a medicare enrolled "Family Medicine" physician in Salt Lake City, Utah. Her current practice location is 177 E 900 S Ste 203, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 448-6454.

Nicole Nielsen Davis is licensed to practice in Utah (license number 4859812-1205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518492743.

Contact Information

Nicole Nielsen Davis, MD
177 E 900 S Ste 203,
Salt Lake City, UT 84111-4252
(801) 448-6454
Not Available

Map and Direction




Physician's Profile

Full NameNicole Nielsen Davis
GenderFemale
SpecialityFamily Medicine
Location177 E 900 S Ste 203, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518492743
  • Provider Enumeration Date: 04/25/2017
  • Last Update Date: 07/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315210689
  • Enrollment ID: I20220516000678

Medical Identifiers

Medical identifiers for Nicole Nielsen Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518492743NPI-NPPES
CDR.0001262OtherCOCOLORADO MEDICAL LICENSE
13843OtherSDSOUTH DAKOTA MEDICAL LICENSE
328280OtherLALOUISIANA MEDICAL LICENSE
MD.43646OtherALALABAMA MEDICAL LICENSE
MD207221OtherOROREGON MEDICAL LICENSE
THMD00023OtherAZARIZONA MEDICAL LICENSE
19019OtherNDNORTH DAKOTA MEDICAL LICENSE
4859812-1205OtherUTUTAH MEDICAL LICENSE
A169764OtherCACALIFORNIA MEDICAL LICENSE
MD61214576OtherWAWASHINGTON MEDICAL LICENSE
ME1674OtherFLFLORIDA MEDICAL LICENSE
U0473OtherTXTEXAS MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4859812-1205 (Utah)Primary

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. Nicole Nielsen Davis allows following entities to bill medicare on her behalf.
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210225002062

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. Nicole Nielsen Davis 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
Nicole Nielsen Davis, MD
Po Box 705,
Salt Lake City, UT 84110-0705

Ph: (801) 448-6454
Nicole Nielsen Davis, MD
177 E 900 S Ste 203,
Salt Lake City, UT 84111-4252

Ph: (801) 448-6454

Reviews and Comments


Family Medicine Doctors in Salt Lake City, UT

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Amy Noel De La Garza, M.D.
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Dr. Laura M. Yeater, MD
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Wesley J. Lewis, MD
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Practice Location: 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121
Phone: 801-365-1032    Fax: 801-365-1033

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.