Alexa Victoria Nickel, APRN in Salt Lake City, UT

Alexa Victoria Nickel, APRN is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mountainstar Specialty Services Llc, Canyon Healthcare Inc and her current practice location is 1200 E 3900 S Unit G175, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 268-7405.

Alexa Victoria Nickel is licensed to practice in Utah (license number 9127639-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811488976.

Contact Information

	Alexa Victoria Nickel, APRN
	1200 E 3900 S Unit G175, Salt Lake City, UT 84124-1300
	(801) 268-7405
	(801) 268-7435

Map and Direction

Provider's Profile

Full Name	Alexa Victoria Nickel
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1200 E 3900 S Unit G175, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alexa Victoria Nickel graduated from nursing school in 2018

NPI Data:

NPI Number: 1811488976
Provider Enumeration Date: 05/24/2018
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 2365799855
Enrollment ID: I20180713002689

Medical Identifiers

Medical identifiers for Alexa Victoria Nickel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811488976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	9127639-3102 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	9127639-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mark's Hospital	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountainstar Specialty Services Llc	4688767551	30
Canyon Healthcare Inc	8123368925	14

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alexa Victoria Nickel allows following entities to bill medicare on her behalf.

Entity Name	Mountainstar Specialty Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265638357 PECOS PAC ID: 4688767551 Enrollment ID: O20070908000097

Entity Name	Canyon Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649748559 PECOS PAC ID: 8123368925 Enrollment ID: O20190313002843

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexa Victoria Nickel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alexa Victoria Nickel, APRN Po Box 100253, Atlanta, GA 30384-0253 Ph: () -	Alexa Victoria Nickel, APRN 1200 E 3900 S Unit G175, Salt Lake City, UT 84124-1300 Ph: (801) 268-7405

Reviews and Comments

Nurse Practitioner Nurses in Salt Lake City, UT

Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166
Sarah Zobell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1619

Alexa Victoria Nickel, APRN - Medicare Nurse Practitioner in Salt Lake City, UT