Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033414248 Individual Practitioner Female Practitioner

Nicole Marie Johnson , PA-C

Physician Assistant • Midvale, UT

Professional Overview & Biography Verified Profile Summary

Nicole Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Midvale, UT. Practice services are available at 7302 S BINGHAM JUNCTION BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7302 S Bingham Junction Blvd

Midvale, UT 840474804

Telephone 8014425502
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1700259207

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Midvale, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Midvale, UT (1904 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
5.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $59.00 $55.92

Medical Specialties & State Licenses

CMS Verified: 2020-06-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 8975784-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Spencer Hill , PA-C

Physician Assistant

NPI 1083954275

Physician Assistant (Certified)

Emily Smith , PA

Physician Assistant

NPI 1215254529

Physician Assistant

Jayme Eatough , PA-C

Physician Assistant

NPI 1407363633

Physician Assistant (Certified)

Heather Grote , PA

Physician Assistant

NPI 1477920817

Physician Assistant

Brittaney Cahoon , FNP-C

Nurse Practitioner

NPI 1609226091

Family Nurse Practitioner (Certified)

Benjamin Blackburn , PA-C

Physician Assistant

NPI 1649380049

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 23, 2020

Registered at 7302 S BINGHAM JUNCTION BLVD, MIDVALE, UT 840474804 (Tel: 8014425502)

📍
Updated Business Mailing Address June 23, 2020

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 8014425502)

👤
Provider Name / Credentials Updated June 23, 2020

Recorded as NICOLE JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2020

Physician Assistant (License #8975784-1206 in UT)

NPI Profile Active March 29, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2013

Registered at 891 W MAIN ST, DOVER FOXCROFT, ME 044261059 (Tel: 2075644338)

📍
Updated Business Mailing Address March 29, 2013

Registered at 891 W MAIN ST, DOVER FOXCROFT, ME 044261059 (Tel: 2075644338)

👤
Provider Name / Credentials Updated March 29, 2013

Recorded as NICOLE JOHNSON, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2013

Physician Assistant (License #PA1319 in ME)

🟢
Initial NPI Registration & Enumeration January 19, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033414248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2011
Last Update: June 23, 2020
Sole Proprietor: Yes

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Phone: 8014425502

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.