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ALEXANDER JOSEPH NICHOLSON MD
NPI 1497188197
Allergy & Immunology in West Jordan, UT

Active since August 16, 2013PECOS EnrolledAccepts Medicare Assignment
3181 W 9000 S, WEST JORDAN, UT 84088(801) 965-3600 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2024, Aug 11, 2022, Jul 28, 2020 and 1 more (4 updates tracked since 2017).

About Alexander Joseph Nicholson Md NPPES

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

ALEXANDER JOSEPH NICHOLSON MD (NPI 1497188197) is an individual allergy & immunology provider in West Jordan, Utah, licensed in Arizona (66165) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of Oregon Health Sciences University School Of Medicine (2017).

NPPES Registry Identity

NPI1497188197
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameALEXANDER JOSEPH NICHOLSONCredential: MD
Location Address3181 W 9000 SWest Jordan, UT 84088-5610
Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600
Phone(801) 965-3600
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2017
Enumeration DateAugust 16, 2013
Last NPPES UpdateSeptember 18, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1497188197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in AZ · 66165
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R77212 (AZ)
3181 W 9000 S, West Jordan, UT 84088
Open in Google Maps ↗

Secondary Practice Location 1

Location 14140 E Baseline Rd Ste 112Mesa, AZ 85206-4413 · Phone (602) 734-0252 ext. 1019

Accepted Insurance

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

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

Alexander Joseph Nicholson 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 ID7911320940
PECOS Enrollment IDI20240930002990
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 Alexander Nicholson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Granger Medical Clinic PC
Same address
Multi-Specialty
3181 W 9000 SO
West Jordan, UT 84088
  • Reassigned Medicare billing, Utah enrollment
  • 190 clinicians in this Medicare group
NPI 1104857549 (801) 352-5900
Granger Medical Specialists LLC
7.4 mi
Clinic/Center
2965 W 3500 S
West Valley City, UT 84119
  • Reassigned Medicare billing, Utah enrollment
  • 188 clinicians in this Medicare group
NPI 1376159368 (801) 965-3600

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
2,414 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
210 services144 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
187 services15 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
101 services74 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
61 services61 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
24 services13 patients

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.

KATHERINE PEACOCK MD
Obstetrics & Gynecology
3181 W 9000 S
WEST JORDAN, UT 84088
Salt Lake County (801) 569-5500
ZACHARY JOHN HANSEN DO
Family Medicine
3181 W 9000 S
WEST JORDAN, UT 84088
Salt Lake County (801) 965-3600
ALTON D BURGETT MD
Obstetrics & Gynecology
3181 W 9000 S
WEST JORDAN, UT 84088
Salt Lake County (801) 965-3600
DR. MARSHALL NICKEL MD
Family Medicine
3181 W 9000 S, BLDG A, SUITE 100
WEST JORDAN, UT 84088
Salt Lake County (801) 352-5900
ANDREW SWENSON DO
Family Medicine
3181 W 9000 S
WEST JORDAN, UT 84088
Salt Lake County (801) 352-5900
ERIC R. GROVER DO
Family Medicine
3181 W 9000 S
WEST JORDAN, UT 84088
Salt Lake County (801) 352-5900
MICHAEL J SANDERSON MD
Family Medicine
3181 W 9000 S
WEST JORDAN, UT 84088
Salt Lake County (801) 965-3600
GRANGER MEDICAL SLEEP CLINIC
Internal Medicine (Sleep Medicine)
3181 W 9000 S
WEST JORDAN, UT 84088
Salt Lake County (801) 352-5950

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 Alexander Nicholson's NPI number?

The NPI number for Alexander Nicholson is 1497188197. It was assigned to this individual provider in the NPPES registry on August 16, 2013.

Where is Alexander Nicholson located?

Alexander Nicholson practices at 3181 W 9000 S, West Jordan, UT 84088. The listed phone number is (801) 965-3600.

What is Alexander Nicholson's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Alexander Nicholson enrolled in Medicare?

Yes. Alexander Nicholson 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 Alexander Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Nicholson reassigns Medicare benefits to 2 organizations: Granger Medical Clinic PC (West Jordan, UT) and Granger Medical Specialists LLC (West Valley 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 Alexander Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexander Nicholson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Alexander Nicholson 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 Alexander Nicholson was last updated on September 18, 2024. 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.