1. Home
  2. Directory
  3. Utah
  4. Midvale
  5. Physician Assistant
  6. NPI Profile

MISS NICOLE MARIE JOHNSON PA-C
NPI 1033414248
Physician Assistant in Midvale, UT

Active since January 19, 2011PECOS Enrolled
7302 S BINGHAM JUNCTION BLVD, MIDVALE, UT 84047(801) 442-5502 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Nicole Marie Johnson Pa-c NPPES

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

MISS NICOLE MARIE JOHNSON PA-C (NPI 1033414248) is an individual physician assistant in Midvale, Utah, licensed in Utah (8975784-1206) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033414248
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS NICOLE MARIE JOHNSONCredential: PA-C
Location Address7302 S BINGHAM JUNCTION BLVDMidvale, UT 84047-4804
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 442-5502
Phone(801) 442-5502
Sole ProprietorYes
Enumeration DateJanuary 19, 2011
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1033414248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 8975784-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7302 S BINGHAM JUNCTION BLVD, Midvale, UT 84047
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Nicole Marie Johnson Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84047 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
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 10

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

DR. JEFFERY L. OLSON PHARMD, BCPS
Pharmacist
7302 S BINGHAM JUNCTION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 442-4599
KAITLYN GELB
Pharmacist
7302 S BINGHAM JUNCTION BLVD
MIDVALE, UT 84047
Salt Lake County (585) 880-5411
MATTHEW ORTMAN PHARMD
Pharmacist
7302 S BINGHAM JUNCTION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 442-3300
SKYLAR FENTON
Pharmacist
7302 S BINGHAM JUNCTION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 442-3300
MEGHANN R HILGERT PA-C
Physician Assistant
7302 S BINGHAM JUNCTION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 442-5502
NANCY LOUISE MECHAM FNP
Nurse Practitioner (Family)
7302 S BINGHAM JUNCTION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 442-2612
SARA DOUGHERTY NP
Nurse Practitioner (Family)
7302 S BINGHAM JUNCTION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 442-5502
WAYNE GRANT CRAWFORD PA-C
Physician Assistant (Medical)
7302 S BINGHAM JUNCTION BLVD
MIDVALE, UT 84047
Salt Lake County (801) 442-2611

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 Johnson's NPI number?

The NPI number for Nicole Johnson is 1033414248. It was assigned to this individual provider in the NPPES registry on January 19, 2011.

Where is Nicole Johnson located?

Nicole Johnson practices at 7302 S Bingham Junction Blvd, Midvale, UT 84047. The listed phone number is (801) 442-5502.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.