Mrs Jill Carolyn Nicholson, ARNP in Draper, UT

Mrs Jill Carolyn Nicholson, ARNP is a medicare enrolled "Nurse Practitioner" in Draper, Utah. Her current practice location is 12176 S 1000 E Ste 4, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at (800) 640-3451.

Mrs Jill Carolyn Nicholson is licensed to practice in Utah (license number 12495745-4405) 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 1649558479.

Contact Information

	Mrs Jill Carolyn Nicholson, ARNP
	12176 S 1000 E Ste 4, Draper, UT 84020-3221
	(800) 640-3451
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jill Carolyn Nicholson
Gender	Female
Speciality	Nurse Practitioner
Location	12176 S 1000 E Ste 4, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649558479
Provider Enumeration Date: 07/27/2011
Last Update Date: 03/06/2024

Medicare PECOS Information:

PECOS PAC ID: 0042113441
Enrollment ID: I20220802002204

Medical Identifiers

Medical identifiers for Mrs Jill Carolyn Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649558479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	76917 (Idaho)	Secondary
363LF0000X	Nurse Practitioner - Family	AP30005742 (Washington)	Secondary
363L00000X	Nurse Practitioner	12495745-4405 (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. Mrs Jill Carolyn Nicholson allows following entities to bill medicare on her behalf.

Entity Name	Spencer J Hardenbrook Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073909594 PECOS PAC ID: 2062733546 Enrollment ID: O20150609002364

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. Mrs Jill Carolyn Nicholson 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
Mrs Jill Carolyn Nicholson, ARNP Po Box 1200, Pleasant Grove, UT 84062-1200 Ph: (800) 640-3451	Mrs Jill Carolyn Nicholson, ARNP 12176 S 1000 E Ste 4, Draper, UT 84020-3221 Ph: (800) 640-3451

Reviews and Comments

Nurse Practitioner Nurses in Draper, UT

Catherine Schultz, DNP, MN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 E 12300 S Ste R400, Draper, UT 84020 Phone: 385-287-1877
Lehai Lily Austin, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-576-2050
Paige Hess, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12276 S 1300 E, Draper, UT 84020 Phone: 801-572-7835
Carlie Jo Hamilton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12272 S 800 E, Suite A, Draper, UT 84020 Phone: 801-523-1300 Fax: 801-523-1301
Tracy Lynn Hanson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 260, Draper, UT 84020 Phone: 801-545-8480
Tumu Jeremy Asuao, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12176 S 1000 E Ste 4, Draper, UT 84020 Phone: 800-640-3451
Mrs. Katherine Elizabeth Stevenson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12176 S 1000 E Ste 10, Draper, UT 84020 Phone: 801-553-9691

Mrs Jill Carolyn Nicholson, ARNP - Medicare Nurse Practitioner in Draper, UT