DR. NICOLE I MEDINA PSYD
NPI 1235488008
Psychologist - Clinical in Murray, UT

Q: What is Nicole Medina's NPI number?

The NPI number for Nicole Medina is 1235488008. It was assigned to this individual provider in the NPPES registry on September 7, 2012. The provider is also known as Nicole Shewey Psyd.

Q: What is Nicole Medina's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Medina was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 07, 2012PECOS Enrolled

5965 S 900 E, MURRAY, UT 84121(801) 872-5516 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2023, Oct 28, 2022, Jul 21, 2022 and 4 more (7 updates tracked since 2017).

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About Dr. Nicole I Medina Psyd NPPES

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

DR. NICOLE I MEDINA PSYD (NPI 1235488008) is an individual clinical provider in Murray, Utah, licensed in Utah (10158726-2501) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1235488008

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NICOLE I MEDINACredential: PSYD

Location Address5965 S 900 EMurray, UT 84121-1757

Mailing Address5965 S 900 E Ste 100Murray, UT 84121-1850 · (801) 872-5516

Phone(801) 872-5516

Sole ProprietorNo

Enumeration DateSeptember 7, 2012

Last NPPES UpdateAugust 11, 20237 updates tracked since enumeration

NPPES CertifiedAugust 11, 2023

✔ NPI 1235488008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in UT · 10158726-2501

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 10158726-2501 (UT)

5965 S 900 E, Murray, UT 84121

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Other Names 1

Other Name (5)Nicole Shewey Psyd

Secondary Practice Locations 3

Location 18160 S Highland Dr Ste C104Sandy, UT 84093 · Phone (801) 850-4382

Location 28184 S Highland Dr Ste C-104Sandy, UT 84093-6477 · Phone (385) 645-4357

Location 33737 w 4100 S Suite 200West Valley City, UT 84120 · Phone (888) 949-4864

Other Identifiers 2

Other10158726-2501UT · Professional License

Medicaid1235488008UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole I Medina Psyd 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 84121 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

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

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.

MS. CRYSTAL RENEE COX LPN

Licensed Practical Nurse