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NICOLE JOHNSON
NPI 1336484286
Nurse Practitioner - Family in Saint George, UT

Active since December 04, 2012PECOS EnrolledAccepts Medicare Assignment
1173 S 250 W STE 208, SAINT GEORGE, UT 84770(435) 688-1111(435) 688-8488 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Johnson NPPES

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

NICOLE JOHNSON (NPI 1336484286) is an individual family provider in Saint George, Utah, licensed in Utah (7518925-4405) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2012).

NPPES Registry Identity

NPI1336484286
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE JOHNSON
Location Address1173 S 250 W STE 208Saint George, UT 84770-6747
Mailing Address1173 S 250 W Ste 208St George, UT 84770-6747 · (435) 688-1111 · Fax (435) 688-8488
Phone(435) 688-1111
Fax(435) 688-8488
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2012
Enumeration DateDecember 4, 2012
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1336484286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in UT · 7518925-4405✔ Licensed in UT · 7518925-8900✔ Licensed in UT · F0912023
1173 S 250 W STE 208, Saint George, UT 84770
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Blackburn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971720962
PECOS Enrollment IDI20141208001159
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 84770 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
$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 8

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

MALIA MCDERMOTT LMFT
Marriage & Family Therapist
1173 S 250 W STE 208
ST GEORGE, UT 84770
Washington County (435) 688-1111
MRS. TINA N BROUGH MFT-I
Marriage & Family Therapist
1173 S 250 W STE 208
ST GEORGE, UT 84770
Washington County (435) 688-1111
STEPHANIE JUDD AMFT
Marriage & Family Therapist
1173 S 250 W STE 208
ST GEORGE, UT 84770
Washington County (435) 688-1111
ALYSON FORD AMFT
Marriage & Family Therapist
1173 S 250 W STE 208
ST GEORGE, UT 84770
Washington County (435) 688-1111
TAYLOR RAE REMER DNP, APRN, FNP-C
Nurse Practitioner (Family)
1173 S 250 W STE 208
ST GEORGE, UT 84770
Washington County (435) 688-1111
CRAIG ANDREW BUTCHER AMFT
Marriage & Family Therapist
1173 S 250 W STE 208
ST GEORGE, UT 84770
Washington County (435) 688-1111
KEVIN BROUGH MFT-I
Marriage & Family Therapist
1173 S 250 W STE 208
ST GEORGE, UT 84770
Washington County (435) 688-1111
BRACKEN LOVELL AMFT
Marriage & Family Therapist
1173 S 250 W STE 208
ST GEORGE, UT 84770
Washington County (435) 688-1111

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 1336484286. It was assigned to this individual provider in the NPPES registry on December 4, 2012. The provider is also known as Nicole Blackburn.

Where is Nicole Johnson located?

Nicole Johnson practices at 1173 S 250 W Ste 208, Saint George, UT 84770. The listed phone number is (435) 688-1111.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Johnson enrolled in Medicare?

Yes. Nicole Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Johnson accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Nicole Johnson 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 Johnson was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.