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NICOLE MARIE FOX PA-C
NPI 1609357524
Physician Assistant in Monticello, UT

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment
380 WEST 100 NORTH, MONTICELLO, UT 84535(435) 587-2116 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Marie Fox Pa-c NPPES

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

NICOLE MARIE FOX PA-C (NPI 1609357524) is an individual physician assistant in Monticello, Utah, licensed in Utah (10958766-1206) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Moab Regional Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609357524
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE MARIE FOXCredential: PA-C
Location Address380 WEST 100 NORTHMonticello, UT 84535
Mailing Address7131 S Towncrest DrCottonwood Heights, UT 84121-3822 · (385) 242-5205
Phone(435) 587-2116
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 28, 2018
✔ NPI 1609357524 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 · 10958766-1206
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.
380 WEST 100 NORTH, Monticello, UT 84535
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Marie Fox Pa-c 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 ID1850632811
PECOS Enrollment IDI20190401002282
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Moab Regional Hospital

Critical Access Hospitals · Moab, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461302
Location450 West Williams WayMoab, UT 84532 · Grand County
Emergency services

San Juan Hospital

Critical Access Hospitals · Monticello, UT
OwnershipVoluntary non-profit - Other
CMS Certification Number461308
Location380 West 100 NorthMonticello, UT 84535 · San Juan County
Emergency services

Blue Mountain Hospital

Critical Access Hospitals · Blanding, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461310
Location802 South 200 WestBlanding, UT 84511 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84535 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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$42.34 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers13 claims13 services$24.50 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims66 services$3.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers44 claims45 services$20.37 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$52.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers81 claims81 services$112.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

SAN JUAN COUNTY HOSPITAL
Clinic/Center (Emergency Care)
380 WEST 100 NORTH
MONTICELLO, UT 84535
San Juan County (435) 587-1123
CANYON VIEW MEDICAL GROUP LLC
Obstetrics & Gynecology
380 WEST 100 NORTH
MONTICELLO, UT 84535
San Juan County (801) 465-2559
JANE SPARKS APRN
Nurse Practitioner (Family)
380 WEST 100 NORTH, SUITE A
MONTICELLO, UT 84535
San Juan County (435) 587-5054
KELLY MARVIN JEPPESEN MD
Family Medicine
380 WEST 100 NORTH, SUITE A
MONTICELLO, UT 84535
San Juan County (435) 587-5054
SAN JUAN COUNTY HOSPITAL
General Acute Care Hospital (Critical Access)
380 WEST 100 NORTH
MONTICELLO, UT 84535
San Juan County (435) 587-2116

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 Nicole Fox's NPI number?

The NPI number for Nicole Fox is 1609357524. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Nicole Fox located?

Nicole Fox practices at 380 West 100 North, Monticello, UT 84535. The listed phone number is (435) 587-2116.

What is Nicole Fox's specialty?

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

Is Nicole Fox enrolled in Medicare?

Yes. Nicole Fox 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.

What insurance does Nicole Fox accept?

Health plans from Select Health and University of Utah Health Plans list Nicole Fox 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.

Is Nicole Fox affiliated with any hospitals?

According to CMS data, Nicole Fox is affiliated with Moab Regional Hospital, San Juan Hospital and Blue Mountain Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Fox was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.