MRS. JILL CAROLYN NICHOLSON (ARNP) – Nurse Practitioner, NPI 1649558479
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for MRS. JILL CAROLYN NICHOLSON (ARNP)
PO BOX 1200
PLEASANT GROVE, UT 840621200
Phone: (800) 640-3451
Type: Mailing
12176 S 1000 E STE 4
DRAPER, UT 840203221
Phone: (800) 640-3451
Type: Location
2065 E 17th St
Idaho Falls, ID 834048042
Phone: (800) 640-3451
Type: Location
1339 ALAMEDA AVE
FIRCREST, WA 984666552
Phone: (253) 564-7701
Fax: (253) 565-4688
Type: Mailing
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: 2023-10-19
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 |
|---|---|---|---|---|
| I20220802002204 | I | Nurse Practitioner | UT | TBD |
| I20231019002953 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 341 | 39 | $0 |
| 97610 | Therapy procedure using ultrasound | 196 | 26 | $0 |
| 11000 | Removal of inflamed or infected skin, up to 10% of body surface | 42 | 11 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 39 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 84062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | UT |
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