KATIE NICHOLLS PA-C
NPI 1851866735
Physician Assistant in South Salt Lake, UT

Active since October 08, 2018PECOS EnrolledAccepts Medicare Assignment
3690 S MAIN ST, SOUTH SALT LAKE, UT 84115(801) 587-2525 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 16, 2026, Mar 11, 2026, Sep 8, 2025 and 2 more (5 updates tracked since 2018).

About Katie Nicholls Pa-c NPPES

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

KATIE NICHOLLS PA-C (NPI 1851866735) is an individual physician assistant in South Salt Lake, Utah, licensed in Utah (10970425-1206) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1851866735
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE NICHOLLSCredential: PA-C
Location Address3690 S MAIN STSouth Salt Lake, UT 84115-4423
Mailing Address3690 S Main StSouth Salt Lake, UT 84115-4423 · (385) 261-2737
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 8, 2018
Last NPPES UpdateMarch 16, 20265 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1851866735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 10970425-1206
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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 10970425-1206 (UT)
3690 S MAIN ST, South Salt Lake, UT 84115

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

Katie Nicholls 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 ID9537402201
PECOS Enrollment IDI20190521000520
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 4

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 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.
70 services40 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.
24 services17 patients
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.
15 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84115 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.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
3690 S MAIN ST
SALT LAKE CITY, UT 84115
Advanced Practice Midwife
3690 S MAIN ST
SALT LAKE CITY, UT 84115
Physician Assistant
3690 S MAIN ST
SALT LAKE CITY, UT 84115
Pediatrics
3690 S MAIN ST
SALT LAKE CITY, UT 84115
Physician Assistant
3690 S MAIN ST
SOUTH SALT LAKE, UT 84115
Family Medicine
3690 S MAIN ST
SOUTH SALT LAKE, UT 84115
Student in an Organized Health Care Education/Training Program
3690 S MAIN ST
SOUTH SALT LAKE, UT 84115
Physician Assistant
3690 S MAIN ST
SOUTH SALT LAKE, UT 84115

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 Katie Nicholls's NPI number?

The NPI number for Katie Nicholls is 1851866735. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is Katie Nicholls located?

Katie Nicholls practices at 3690 S Main St, South Salt Lake, UT 84115. The listed phone number is (801) 587-2525.

What is Katie Nicholls's specialty?

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

Is Katie Nicholls enrolled in Medicare?

Yes. Katie Nicholls 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 Katie Nicholls accept?

Health plans from Select Health list Katie Nicholls 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 Katie Nicholls affiliated with any hospitals?

According to CMS data, Katie Nicholls is affiliated with Lds Hospital.

When was this NPI record last updated?

The NPPES record for Katie Nicholls was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.