Katie Nicholls, PA-C in South Salt Lake, UT - Medicare Physician Assistant

Katie Nicholls, PA-C is a medicare enrolled "Physician Assistant" in South Salt Lake, Utah. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Of Utah Community Physicians Group, Ihc Health Services Inc and her current practice location is 3690 S Main St, South Salt Lake, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 587-2525.

Katie Nicholls is licensed to practice in Utah (license number 10970425-1206) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851866735.

Contact Information

	Katie Nicholls, PA-C
	3690 S Main St, South Salt Lake, UT 84115-4423
	(801) 587-2525
	Not Available

Map and Direction

Provider's Profile

Full Name	Katie Nicholls
Gender	Female
Speciality	Physician Assistant
Experience	8 Years
Location	3690 S Main St, South Salt Lake, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katie Nicholls graduated from nursing school in 2018

NPI Data:

NPI Number: 1851866735
Provider Enumeration Date: 10/08/2018
Last Update Date: 03/16/2026

Medicare PECOS Information:

PECOS PAC ID: 9537402201
Enrollment ID: I20190521000520

Medical Identifiers

Medical identifiers for Katie Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851866735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	10970425-1206 (Utah)	Secondary
363A00000X	Physician Assistant	10970425-1206 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lds Hospital	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Community Physicians Group	9739403569	278
Ihc Health Services Inc	1850209420	3956

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. Katie Nicholls 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 Address	Practice Location Address
Katie Nicholls, PA-C 3690 S Main St, South Salt Lake, UT 84115-4423 Ph: (385) 261-2737	Katie Nicholls, PA-C 3690 S Main St, South Salt Lake, UT 84115-4423 Ph: (801) 587-2525

Reviews and Comments

Physician Assistant Nurses in South Salt Lake, UT

Anna I Mair, C-PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3690 S Main St, South Salt Lake, UT 84115 Phone: 801-587-2525 Fax: 801-261-0503
Ms. Reem Heaven Nev Bahar, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2531 S 400 E, South Salt Lake, UT 84115 Phone: 801-634-0581
Jacob Stout, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2472 S 300 E, South Salt Lake, UT 84115 Phone: 801-783-5011

Katie Nicholls, PA-C - Medicare Physician Assistant in South Salt Lake, UT