NICHOLE SORENSEN FNP
NPI 1912711870
Nurse Practitioner - Family in Roosevelt, UT
About Nichole Sorensen Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLE SORENSEN FNP (NPI 1912711870) is an individual family provider in Roosevelt, Utah, licensed in Utah (8352727-4405) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Uintah Basin Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Nichole Sorensen Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nichole Sorensen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roosevelt, UT 84066
- Reassigned Medicare billing, Utah enrollment
- 94 clinicians in this Medicare group
Roosevelt, UT 84066
- Reassigned Medicare billing, Utah enrollment
- 78 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.
Uintah Basin Medical Center
Acute Care Hospitals · Roosevelt, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Nichole Sorensen's NPI number?
The NPI number for Nichole Sorensen is 1912711870. It was assigned to this individual provider in the NPPES registry on February 3, 2025.
Where is Nichole Sorensen located?
Nichole Sorensen practices at 250 W 300 N, Roosevelt, UT 84066. The listed phone number is (435) 722-4691.
What is Nichole Sorensen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nichole Sorensen enrolled in Medicare?
Yes. Nichole Sorensen 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 organizations bill Medicare for Nichole Sorensen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Sorensen reassigns Medicare benefits to 2 organizations: Uintah Basin Medical Center (Roosevelt, UT) and Northeastern Utah Medical Group (Roosevelt, UT). Each 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 Nichole Sorensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nichole Sorensen accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Nichole Sorensen 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 Nichole Sorensen affiliated with any hospitals?
According to CMS data, Nichole Sorensen is affiliated with Uintah Basin Medical Center.
When was this NPI record last updated?
The NPPES record for Nichole Sorensen was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Nichole Sorensen, FNP · NPI 1912711870
Family physician in Roosevelt, Utah. Individual provider, active in the CMS NPPES registry since February 3, 2025.
## Identity
- **NPI:** 1912711870 (Entity type: Individual)
- **Enumerated:** February 3, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8352727-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 W 300 N, Roosevelt, UT 84066-2336
- **Phone:** (435) 722-4691
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Uintah Basin Medical Center (NPI 1871556217, Roosevelt, UT); Northeastern Utah Medical Group (NPI 1982664199, Roosevelt, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** May 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912711870) · Data from the CMS NPPES public registry.