Active NPI
Nicole Page Nielsen, PA-C
- Physician Assistant
- West Jordan, UT
National Provider Identifier
1831862309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12488179-1206
- Practice address
- 7478 S Campus View Dr Ste 200
West Jordan, UT 84084-1969 - Phone
- (720) 955-2105
- NPI assigned
- Jul 29, 2021
- Last updated
- May 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12488179-1206 | UT | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
7478 S Campus View Dr Ste 200
West Jordan, UT 84084-1969
Mailing address
7478 S Campus View Dr Ste 200
West Jordan, UT 84084-1969
Phone (801) 282-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| After Hours Medical LLC, Dba Medallus Medical | Current | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba U-U Dermatology Division School of Medicine
- Dermatology Physician
- Salt Lake City, UT
- NPI 1922096114
-
- Pediatric Dermatology Physician
- Salt Lake City, UT
- NPI 1235339193
-
dba After Hours Medical- West Valley Clinic
- Urgent Care Clinic/Center
- West Valley, UT
- NPI 1679675417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1831862309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7478 S CAMPUS VIEW DR STE 200",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840841969",
"telephone_number": "801-282-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7478 S CAMPUS VIEW DR STE 200",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840841969",
"telephone_number": "720-955-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "NICOLE",
"middle_name": "PAGE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "12488179-1206",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.