CHAD NICHOLLS (MD) – Emergency Medicine Physician, NPI 1376505867
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
487 EMERGENCY MEDICINE in UT
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Provider Addresses for CHAD NICHOLLS (MD)
144, 500 East, Salt Lake City, Salt Lake County, Utah, 84102, United States
2ND FLOOR
SALT LAKE CITY, UT 841021907
Phone:
Type: Mailing
Jordan Valley Medical Center - West Valley Campus, 3460, Pioneer Parkway, West Valley City, Salt Lake County, Utah, 84120, United States
WEST VALLEY CITY, UT 841202049
Phone: (801) 964-3100
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: 2006-03-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20060321000356 | I | Emergency Medicine | UT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 17 | 17 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 84102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Family Practice | MO | |
| Physician Assistant | MI | |
| Family Practice | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Family Practice | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT |
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