GRACE NICHOLAS MD
NPI 1912767666
Radiology - Radiation Oncology in Salt Lake City, UT

Q: What is Grace Nicholas's NPI number?

The NPI number for Grace Nicholas is 1912767666. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Q: What is Grace Nicholas's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Grace Nicholas was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2024PECOS Enrolled

1950 CIRCLE OF HOPE DR RM 1570, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Grace Nicholas Md NPPES

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

GRACE NICHOLAS MD (NPI 1912767666) is an individual radiation oncology provider in Salt Lake City, Utah, licensed in Utah (14244239-1205) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912767666

Entity TypeIndividualFemale

Primary Taxonomy2085R0001X

Provider Legal NameGRACE NICHOLASCredential: MD

Location Address1950 CIRCLE OF HOPE DR RM 1570Salt Lake City, UT 84112-5500

Mailing Address1950 Circle Of Hope Dr Rm 1570Salt Lake City, UT 84112-5500 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateMarch 20, 2024

Last NPPES UpdateSeptember 29, 2025

NPPES CertifiedSeptember 29, 2025

✔ NPI 1912767666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in UT · 14244239-1205

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

1950 CIRCLE OF HOPE DR RM 1570, Salt Lake City, UT 84112

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Nicholas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

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 14

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

JONATHAN FRANDSEN M.D.