NICOLE MARIE FOX (PA-C) – Physician Assistant, NPI 1609357524
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
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Provider Addresses for NICOLE MARIE FOX (PA-C)
7131, Towncrest Drive, Towncrest Terrace, Cottonwood Heights, Salt Lake County, Utah, 84121, United States
COTTONWOOD HEIGHTS, UT 841213822
Phone: (385) 242-5205
Type: Mailing
San Juan Hospital, 380, West 100 North, Monticello, San Juan County, Utah, 84535, United States
MONTICELLO, UT 84535
Phone: (435) 587-2116
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $677.
Total Amount is formed as General ($677) + Research ($0) + Ownership ($0) = $677.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($402).
Total Amount
$677
General + Research + Ownership
Payments
34
Total payment records
General Amount
$677
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $402 |
| Lilly USA, LLC | $111 |
| AstraZeneca Pharmaceuticals LP | $100 |
| Novo Nordisk Inc | $61 |
| Organon LLC | $3 |
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: 2019-04-01
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 |
|---|---|---|---|---|
| I20190401002282 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | CA | |
| General Surgery | NC | |
| Family Practice | UT | |
| Physician Assistant | UT | |
| - | KS | |
| Nurse Practitioner | UT | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | UT | |
| Family Practice | UT | |
| Nurse Practitioner | UT | |
| Pediatric Medicine | CA |
Reviews
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