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

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: November 01, 2026.

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 BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health 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 (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.

Medicare Billing Reassignment

Medicare enrollment records show Tracy Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
0.1 mi
Pediatrics
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1003255464 (801) 662-1000

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 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
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
DR. NICOLE JEFFREYS MD
Anesthesiology (Pediatric Anesthesiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3578
SARAH ZOBELL NP
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1619
MRS. GIOVANA MARTENDAL KING NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4100
DR. STEVEN SHI-FONG WU
Pediatrics (Pediatric Gastroenterology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2900
KRISTA SKYE VIAU MS, RD, CSP, CD
Dietitian, Registered (Nutrition, Metabolic)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-9590
DR. ANDREW GERALD SMITH M.D.
Pediatrics (Pediatric Critical Care Medicine)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3673
MARY HUNT MARTIN MD
Pediatrics (Pediatric Cardiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5400

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 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.

Where is Tracy Nichols located?

Tracy Nichols practices at 100 Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-1000.

What is Tracy Nichols's specialty?

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

Is Tracy Nichols enrolled in Medicare?

Yes. Tracy Nichols is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Nichols reassigns Medicare benefits to Ihc Health Services Inc (Salt Lake City, UT). The 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 Tracy Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Nichols accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Tracy Nichols 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 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.