NICOLE AUDREY NELSON PHYSICIAN ASSISTANT
NPI 1508525411
Physician Assistant in Salt Lake City, UT

Q: What is Nicole Nelson's NPI number?

The NPI number for Nicole Nelson is 1508525411. It was assigned to this individual provider in the NPPES registry on December 8, 2021.

Q: What is Nicole Nelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Nelson was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since December 08, 2021PECOS Enrolled

98.16/100

CMS Quality Rating

100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1619 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 14, 2025, Dec 8, 2021 (2 updates tracked since 2021).

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About Nicole Audrey Nelson Physician Assistant NPPES

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

NICOLE AUDREY NELSON PHYSICIAN ASSISTANT (NPI 1508525411) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (14248504-1206) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508525411

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE AUDREY NELSONCredential: PHYSICIAN ASSISTANT

Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 662-1619

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 8, 2021

Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1508525411 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 · 14248504-1206

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.

100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

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Secondary Practice Location 1

Location 15440 W Sahara Ave Ste 302Las Vegas, NV 89146-0361 · Phone (702) 633-0207

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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)

Nicole Audrey Nelson Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426443607

PECOS Enrollment IDI20220325000939

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.

Areas of Expertise CMS Part B claims 4

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.

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.

146 services92 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

124 services124 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

59 services53 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.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84113 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.51

Promoting Interoperability

Improvement Activities

Cost

87.18

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.

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