MRS. TRACY D. NICHOLS MSN CPNP
NPI 1518218577
Nurse Practitioner - Pediatrics in Salt Lake City, UT

Q: What is Tracy Nichols's NPI number?

The NPI number for Tracy Nichols is 1518218577. It was assigned to this individual provider in the NPPES registry on September 30, 2012.

Q: What is Tracy Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Nichols was last updated on March 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 30, 2012PECOS Enrolled

100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1000 Get Directions Write a Review

NPPES record last updated: March 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Tracy D. Nichols Msn Cpnp NPPES

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

MRS. TRACY D. NICHOLS MSN CPNP (NPI 1518218577) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (217015-8900) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518218577

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. TRACY D. NICHOLSCredential: MSN CPNP

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

Mailing Address100 Mario Capecchi DrSalt Lake City, UT 84113-1103 · (801) 662-1000

Phone(801) 662-1000

Sole ProprietorNo

Enumeration DateSeptember 30, 2012

Last NPPES UpdateMarch 9, 2014

✔ NPI 1518218577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in UT · 217015-8900

100 MARIO CAPECCHI DR, Salt Lake City, UT 84113

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select 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)

Mrs. Tracy D. Nichols Msn Cpnp 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 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

$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.

KAITLIN CARPENTER

Pediatrics