DR. NICOLE J DEVILBISS (CCC-A) – Audiologist, NPI 1750956124

DR. NICOLE J DEVILBISS (CCC-A) is a healthcare provider. based in West jordan, Utah. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials CCC-A. They hold a License No. 12312856-4101 (UT). The NPI Number for DR. NICOLE J DEVILBISS (CCC-A) is 1750956124

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE J DEVILBISS (CCC-A)
NPI
1750956124
Phone
(801) 566-8304
Address
3584 W 9000 S Ste 311
Enumeration Date
26 May 2021
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015668304
Graduation Year
2021 (5 years ago)
PAC ID
6507264132
Group Practice PAC ID
9335125855
Professional Enrollment ID
I20211012000611
Address ID
UT840884775WE3584X9000303

Contacts

Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness95
Years active:5State licenses:1Other names

105 QUALIFIED AUDIOLOGIST in UT

Provider Addresses for DR. NICOLE J DEVILBISS (CCC-A)

  • 3584 W 9000 S Ste 311

    West Jordan, UT 840884775

    Phone: (801) 566-8304

    Type: Location

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • 5770 S 250 E

    MURRAY, UT 841078100

    Phone: (801) 314-5200

    Type: Location

  • 3584 W 9000 S STE 311

    WEST JORDAN, UT 840884775

    Phone: (801) 566-8304

    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: 2021-10-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211012000611IQualified AudiologistUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92567Test to assess middle ear function6561$0
92557Comprehensive hearing and speech recognition test6057$0
92626Evaluation of hearing function related to surgically implanted hearing device, first hour2412$0
View full utilization report →

Insurance plans in this area (ZIP 84088)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335125855View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YUT
O T O L A R Y N G O L O G YUT
Qualified AudiologistUT
Otolaryngology, Plastic And Reconstructive SurgeryUT
O T O L A R Y N G O L O G YUT
O T O L A R Y N G O L O G YUT
Qualified AudiologistUT
O T O L A R Y N G O L O G YUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Does DR. NICOLE J DEVILBISS (CCC-A) have a public NPI I can cite?
Public records show DR. NICOLE J DEVILBISS (CCC-A) under NPI 1750956124.
Does the public listing show DR. NICOLE J DEVILBISS (CCC-A) as active?
DR. NICOLE J DEVILBISS (CCC-A)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. NICOLE J DEVILBISS (CCC-A)'s specialty?
The extract shows Audiologist for DR. NICOLE J DEVILBISS (CCC-A). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. NICOLE J DEVILBISS (CCC-A)?
DR. NICOLE J DEVILBISS (CCC-A) shows a connection to West Jordan, Utah in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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