JOHN M NICHOLS (MD) – Obstetrics & Gynecology Physician, NPI 1114906252
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
357 OBSTETRICS/GYNECOLOGY in UT
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Provider Addresses for JOHN M NICHOLS (MD)
9000 South, West Jordan, Salt Lake County, Utah, 84070, United States
#210
WEST JORDAN, UT 840888876
Phone: (801) 569-2626
Fax: (801) 569-5333
Type: Mailing
1380 E Medical Center Dr Ste 1600
St George, UT 847902123
Phone: (435) 251-4170
Fax: (435) 251-4151
Type: Location
190 E BANNOCK ST
BOISE, ID 837126241
Phone:
Type: Mailing
9850 W ST LUKES DR
NAMPA, ID 836877912
Phone: (208) 381-2267
Fax: (208) 381-4314
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
1380 E MEDICAL CENTER DR STE 1600
ST GEORGE, UT 847902123
Phone: (435) 251-4170
Fax: (435) 251-4151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101025000656 | I | Obstetrics/Gynecology | UT | TBD |
| I20250221003218 | I | Obstetrics/Gynecology | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84088)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | UT | |
| - | OR | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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