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DR. NICOLE JEFFREYS MD
NPI 1003936451
Anesthesiology - Pediatric Anesthesiology in Salt Lake City, UT

Active since March 30, 2007PECOS Enrolled
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-3578 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nicole Jeffreys Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE JEFFREYS MD (NPI 1003936451) is an individual pediatric anesthesiology provider in Salt Lake City, Utah, licensed in Utah (289194-1205) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003936451
Entity TypeIndividualFemale
Primary Taxonomy207LP3000X
Provider Legal NameDR. NICOLE JEFFREYSCredential: MD
Location Address100 MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 3870Salt Lake City, UT 84110-3870 · (801) 662-3578
Phone(801) 662-3578
Sole ProprietorYes
Enumeration DateMarch 30, 2007
Last NPPES UpdateJanuary 4, 2012
✔ NPI 1003936451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
License✔ Licensed in UT · 289194-1205
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
100 MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Jeffreys Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Jeffreys reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Anesthesiologists Inc
0.1 mi
Anesthesiology
100 N MEDICAL DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 48 clinicians in this Medicare group
NPI 1417965799 (888) 249-4598

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLIN CARPENTER
Pediatrics
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
SARAH ZOBELL NP
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1619
MRS. GIOVANA MARTENDAL KING NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4100
DR. STEVEN SHI-FONG WU
Pediatrics (Pediatric Gastroenterology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2900
KRISTA SKYE VIAU MS, RD, CSP, CD
Dietitian, Registered (Nutrition, Metabolic)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-9590
DR. ANDREW GERALD SMITH M.D.
Pediatrics (Pediatric Critical Care Medicine)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3673
MARY HUNT MARTIN MD
Pediatrics (Pediatric Cardiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5400
JANET ELLEN CRAIG NP
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-6807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Jeffreys's NPI number?

The NPI number for Nicole Jeffreys is 1003936451. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Nicole Jeffreys located?

Nicole Jeffreys practices at 100 Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-3578.

What is Nicole Jeffreys's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Nicole Jeffreys enrolled in Medicare?

Yes. Nicole Jeffreys is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Jeffreys's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Jeffreys reassigns Medicare benefits to Pediatric Anesthesiologists Inc (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Jeffreys's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Jeffreys accept?

Health plans from Select Health list Nicole Jeffreys as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Jeffreys was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.