CHAD NICHOLLS MD
NPI 1376505867
Emergency Medicine in West Valley City, UT

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
3460 PIONEER PKWY, WEST VALLEY CITY, UT 84120(801) 964-3100 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chad Nicholls Md NPPES

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

CHAD NICHOLLS MD (NPI 1376505867) is an individual emergency medicine provider in West Valley City, Utah, licensed in Utah (6068204-1205) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2003).

NPPES Registry Identity

NPI1376505867
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCHAD NICHOLLSCredential: MD
Location Address3460 PIONEER PKWYWest Valley City, UT 84120-2049
Mailing Address144 S 500 E, 2nd FloorSalt Lake City, UT 84102-1907
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2003
Enumeration DateApril 3, 2006
Last NPPES UpdateApril 21, 2010
✔ NPI 1376505867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in UT · 6068204-1205
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 6068204-1205 (UT)
3460 PIONEER PKWY, West Valley City, UT 84120

Other Identifiers 9

Medicare PIN005568651UT
Medicare PIN005568569UT
Medicare PIN005568368UT
Medicare PIN005568463UT
MedicaidD6585UT
Medicare PIN005786139UT
Medicare UPINI28729UT
Medicare PIN005567248UT
Medicare PIN005567158UT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chad Nicholls Md 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 ID749221224
PECOS Enrollment IDI20060321000356
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 Reassignments

2

Medicare enrollment records show Chad Nicholls reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
441 S REDWOOD RD
Salt Lake City, UT 84104
  • Reassigned Medicare billing, Utah enrollment
  • 25 clinicians in this Medicare group
Emergency Medicine
1050 E SOUTH TEMPLE
Salt Lake City, UT 84102
  • Reassigned Medicare billing, Utah enrollment
  • 316 clinicians in this Medicare group

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 84120 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 20

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

Emergency Medicine
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
Specialist
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
Anesthesiology
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
Nurse Anesthetist, Certified Registered
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
Emergency Medicine
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
Emergency Medicine
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
Emergency Medicine
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
Anesthesiology
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120

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 Chad Nicholls's NPI number?

The NPI number for Chad Nicholls is 1376505867. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Chad Nicholls located?

Chad Nicholls practices at 3460 Pioneer Pkwy, West Valley City, UT 84120. The listed phone number is (801) 964-3100.

What is Chad Nicholls's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Chad Nicholls enrolled in Medicare?

Yes. Chad Nicholls 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.

Which organizations bill Medicare for Chad Nicholls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chad Nicholls reassigns Medicare benefits to 2 organizations: Utah Carenow Urgent Care, LLC (Salt Lake City, UT) and Emergency Physicians Integrated Care, LLC (Salt Lake City, UT). Each 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 Chad Nicholls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chad Nicholls was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.