MRS. JILL CAROLYN NICHOLSON ARNP
NPI 1649558479
Nurse Practitioner in Draper, UT

Active since July 27, 2011PECOS EnrolledAccepts Medicare Assignment
12176 S 1000 E STE 4, DRAPER, UT 84020(800) 640-3451 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2024, Oct 6, 2023 (2 updates tracked since 2023).

About Mrs. Jill Carolyn Nicholson Arnp NPPES

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

MRS. JILL CAROLYN NICHOLSON ARNP (NPI 1649558479) is an individual nurse practitioner in Draper, Utah, licensed in Utah (12495745-4405) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Idaho Falls, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1649558479
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JILL CAROLYN NICHOLSONCredential: ARNP
Location Address12176 S 1000 E STE 4Draper, UT 84020-3221
Mailing AddressPo Box 1200Pleasant Grove, UT 84062-1200 · (800) 640-3451
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 27, 2011
Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
NPI 1649558479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in UT · 12495745-4405 Licensed in ID · 76917
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP30005742 (WA)
12176 S 1000 E STE 4, Draper, UT 84020

Other Names 1

Former Name (1)Miss Jill Carolyn Segner Np

Secondary Practice Location 1

Location 12065 E 17th StIdaho Falls, ID 83404-8042 · Phone (800) 640-3451

Accepted 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

Mrs. Jill Carolyn Nicholson Arnp 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 ID42113441
PECOS Enrollment IDI20220802002204, I20231019002953
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 5

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 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.
172 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
118 services21 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.
105 services26 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
61 services13 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84020 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 9

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

Family Medicine
12176 S 1000 E STE 4
DRAPER, UT 84020
Family Medicine
12176 S 1000 E STE 4
DRAPER, UT 84020
Nurse Practitioner
12176 S 1000 E STE 4
DRAPER, UT 84020
Physician Assistant
12176 S 1000 E STE 4
DRAPER, UT 84020
Nurse Practitioner (Primary Care)
12176 S 1000 E STE 4
DRAPER, UT 84020
Nurse Practitioner
12176 S 1000 E STE 4
DRAPER, UT 84020
Nurse Practitioner
12176 S 1000 E STE 4
DRAPER, UT 84020
Nurse Practitioner
12176 S 1000 E STE 4
DRAPER, UT 84020

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 Jill Nicholson's NPI number?

The NPI number for Jill Nicholson is 1649558479. It was assigned to this individual provider in the NPPES registry on July 27, 2011. The provider is also known as Miss Jill Carolyn Segner Np.

Where is Jill Nicholson located?

Jill Nicholson practices at 12176 S 1000 E Ste 4, Draper, UT 84020. The listed phone number is (800) 640-3451.

What is Jill Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jill Nicholson enrolled in Medicare?

Yes. Jill 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.

What insurance does Jill Nicholson accept?

Health plans from Select Health list Jill 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 Jill Nicholson was last updated on March 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.