Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katie Nicholls, PA-C

Individual provider Medical Physician Assistant · NPI 1851866735

Katie Nicholls, PA-C is a Physician Assistant in South Salt Lake, Utah. Qualified in 2018, 8 years ago. Practices with University of Utah Community Physicians Group, a 280-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3690 S Main St
South Salt Lake, UT 84115-4423
Phone: (801) 587-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10970425-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10970425-1206 (UT)

Record details

NPI number1851866735
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Of Utah Community Physicians Group — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Colleagues at University of Utah Community Physicians Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 280 clinicians in the practice; 12 are shown here.