NICOLE PORTER HARLAN MD
NPI 1679866560
Internal Medicine - Critical Care Medicine in Murray, UT

Active since May 25, 2011PECOS EnrolledAccepts Medicare Assignment
5121 S COTTONWOOD ST, MURRAY, UT 84107(801) 507-6415 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2023, Oct 18, 2019, Sep 13, 2018 (3 updates tracked since 2018).

About Nicole Porter Harlan Md NPPES

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

NICOLE PORTER HARLAN MD (NPI 1679866560) is an individual critical care medicine provider in Murray, Utah, licensed in Utah (9048517-1205) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1679866560
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameNICOLE PORTER HARLANCredential: MD
Location Address5121 S COTTONWOOD STMurray, UT 84107
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 25, 2011
Last NPPES UpdateDecember 13, 20233 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1679866560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in UT · 9048517-1205
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 20012 (NH)
Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License 9048517-1205 (UT)
5121 S COTTONWOOD ST, Murray, UT 84107

Secondary Practice Locations 3

Location 11 Medical Center DrLebanon, NH 03756 · Phone (603) 650-5533
Location 2247 MacNider, CB# 7593, UNC School of MedicineChapel Hill, NC 27514 · Phone (919) 966-6669 · Fax (919) 966-7490
Location 35121 S Cottonwood StMurray, UT 84107 · Phone (801) 507-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Porter Harlan Md 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 ID547552549
PECOS Enrollment IDI20231012001226
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 Nicole Harlan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
5121 COTTONWOOD ST
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1235664251 (Utah)
  • 1,729 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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.

Pediatrics (Neonatal-Perinatal Medicine)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Hospitalist
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Physical Therapist
5121 S COTTONWOOD ST
MURRAY, UT 84107
Student in an Organized Health Care Education/Training Program
5121 S COTTONWOOD ST
MURRAY, UT 84107
Internal Medicine (Clinical Cardiac Electrophysiology)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Physician Assistant
5121 S COTTONWOOD ST
MURRAY, UT 84107
Internal Medicine
5121 S COTTONWOOD ST
MURRAY, UT 84107
Nurse Practitioner
5121 S COTTONWOOD ST
MURRAY, UT 84107

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 Harlan's NPI number?

The NPI number for Nicole Harlan is 1679866560. It was assigned to this individual provider in the NPPES registry on May 25, 2011.

Where is Nicole Harlan located?

Nicole Harlan practices at 5121 S Cottonwood St, Murray, UT 84107. The listed phone number is (801) 507-6415.

What is Nicole Harlan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Nicole Harlan enrolled in Medicare?

Yes. Nicole Harlan 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.

Which organization bills Medicare for Nicole Harlan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Harlan reassigns Medicare benefits to Ihc Health Services, Inc. (Murray, 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 Nicole Harlan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Harlan affiliated with any hospitals?

According to CMS data, Nicole Harlan is affiliated with Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Harlan was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.