NICHOLAS S DEMILLE – Medical Physician Assistant, NPI 1821670936

NICHOLAS S DEMILLE is a healthcare provider. based in St george, Utah. specializing in PHYSICIAN ASSISTANT. They hold a License No. 11214124-1206 (UT). The NPI Number for NICHOLAS S DEMILLE is 1821670936

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS S DEMILLE
NPI
1821670936
Phone
(435) 216-7000
Address
617 E RIVERSIDE DR STE 301
Enumeration Date
27 April 2021
Last Update Date
29 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
5395119879
Group Practice PAC ID
3072683051
Professional Enrollment ID
I20230323002578
Address ID
UT847908722St617XXDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for NICHOLAS S DEMILLE

  • 617 E RIVERSIDE DR STE 301

    ST GEORGE, UT 847908722

    Phone: (435) 216-7000

    Fax: (435) 216-7001

    Type: Mailing

  • 375 S CHIPETA WAY STE A

    SALT LAKE CITY, UT 841081261

    Phone: (801) 585-0187

    Type: Mailing

  • 2456 VINEYARD DR

    SANTA CLARA, UT 847655438

    Phone: (480) 371-8794

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $2,480.

Total Amount is formed as General ($2,480) + Research ($0) + Ownership ($0) = $2,480.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Boston Scientific Corporation ($1,305).

Total Amount

$2,480

General + Research + Ownership

Payments

57

Total payment records

General Amount

$2,480

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-12-01

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230323002578IPhysician AssistantUTTBD
I20231201002435IPhysician AssistantNVTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes544308$0
99213Established patient office or other outpatient visit, 20-29 minutes380192$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg8715$0
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms8172$0
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms5546$0
View full utilization report →

Insurance plans in this area (ZIP 84790)

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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: 3072683051View full group profile
NameSpecialtyState
Pain ManagementUT
Clinical Social WorkerUT
Physician AssistantUT
Nurse PractitionerUT
A N E S T H E S I O L O G YUT
Physician AssistantUT
Anesthesiology, Pain ManagementWA
Physician AssistantUT
Pain Management, Interventional Pain ManagementUT
Physician AssistantUT

Reviews

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Frequently asked questions

What unique ID ties claims to NICHOLAS S DEMILLE?
NPI 1821670936 is assigned to NICHOLAS S DEMILLE under the national enumeration system.
Is NICHOLAS S DEMILLE currently active in the NPI registry?
CMS-published data lists NICHOLAS S DEMILLE as an active registrant.
Does NICHOLAS S DEMILLE list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for NICHOLAS S DEMILLE. Clinical services aligned with this taxonomy classification.
What location shows for NICHOLAS S DEMILLE?
We surface St George, Utah for NICHOLAS S DEMILLE based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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