Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nicole Marie Fox , PA-C

Physician Assistant • Monticello, UT

Active NPI 1609357524 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

380 West 100 North
Monticello, UT 84535

Call 4355872116 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

380 West 100 North

Monticello, UT 84535

Telephone 4355872116
Organization at the Same NPPES Address or Phone
San Juan County Hospital Facility NPI 1942251459

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: San Juan County Hospital. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

30-day fills

2,713 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$136,023 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $270.31 across 14 records.

By nature of payment

  • Food and Beverage: $270.31 across 14 records.

Reporting-company totals (3 largest of 5)

  • ABBVIE INC.: $149.49 across 9 records.
  • AstraZeneca Pharmaceuticals LP: $52.89 across 2 records.
  • Eisai Inc.: $25.88 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Nicole Fox has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Nicole Fox as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Monticello and Utah

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Utah (2024, 1,033 clinicians with data). Median for this group: 258. Middle half: 71 to 842.

Too few clinicians listed under Physician Assistant in Monticello have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Utah (2024, 1,033 clinicians with data). Median for this group: $7,285. Middle half: $798 to $79,157.

Too few clinicians listed under Physician Assistant in Monticello have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under Physician Assistant with a practice address in Monticello, UT (1,887 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 14 records totaling $270.31.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $30.65
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $29.00
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $26.48
Eisai Inc.
Food and Beverage
In-kind items and services
Leqembi General $25.88
Organon LLC
Food and Beverage
In-kind items and services
NEXPLANON General $25.15
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $23.89
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $22.33
Solventum Corporation
Food and Beverage
Cash or cash equivalent
— General $16.90
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $14.45
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $14.08
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $14.06
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $11.79
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $11.16
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $4.49

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 86 7,080 $715.26 25
Levothyroxine Sodium Levothyroxine Sodium 74 6,310 $854.54 18
Lisinopril Lisinopril 66 5,196 $453.84 19
Gabapentin Gabapentin 65 1,934 $1,380.71 13
Amlodipine Besylate Amlodipine Besylate 59 4,615 $262.71 19
Irbesartan Irbesartan 52 3,600 $1,137.63 17
Pantoprazole Sodium Pantoprazole Sodium 47 3,014 $301.89 14
Rosuvastatin Calcium Rosuvastatin Calcium 39 3,090 $283.20 15
Duloxetine Hcl Duloxetine Hcl 35 2,850 $912.18 13
Trulicity Dulaglutide 34 952 $30,931.24 —
Omeprazole Omeprazole 33 2,205 $392.38 —
Bupropion Hcl Sr Bupropion Hcl 31 1,230 $1,163.78 —
Metoprolol Succinate Metoprolol Succinate 30 1,380 $375.98 —
Zolpidem Tartrate Zolpidem Tartrate 30 960 $99.15 —
Jardiance Empagliflozin 30 1,540 $29,775.02 —
Pregabalin Pregabalin 30 1,140 $260.90 —
Fluticasone Propionate Fluticasone Propionate 29 1,228 $447.80 —
Trazodone Hcl Trazodone Hcl 29 2,490 $484.56 —
Albuterol Sulfate Hfa Albuterol Sulfate 29 1,595 $961.17 —
Furosemide Furosemide 28 1,405 $133.06 11
Clopidogrel Clopidogrel Bisulfate 26 1,440 $188.09 —
Ozempic Semaglutide 25 1,232 $39,498.58 —
Potassium Chloride Potassium Chloride 24 1,295 $405.94 —
Alendronate Sodium Alendronate Sodium 23 1,202 $95.44 —
Eliquis Apixaban 22 660 $12,499.67 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES UT 10958766-1206

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20190401002282

Enrollment State Jurisdiction

UT

PECOS Control ID

1850632811

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

San Juan County Hospital

Po Box, Monticello, UT 84535

San Juan County Hospital

380 W 100, Monticello, UT 845350308

San Juan County Hospital

380 W 100, Monticello, UT 845357879

Phone: 4355875054

San Juan County Hospital

380 W 100, Monticello, UT 845350308

Phone: 4355872116

San Juan County Hospital

5555 Old Airport Rd, Spanish Valley, UT 845325105

Phone: 4355871234

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Kade Lyman

Orthopaedic Surgery - Sports Medicine

NPI 1003270059
NPI 1700225679

Doctor of Osteopathic Medicine (D.O.)

Dr. Paul Reay , DO

Family Medicine

NPI 1902873425

Doctor of Osteopathic Medicine (D.O.)

NPI 1669869459

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History

NPI enumerated August 28, 2018.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from September 2018 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1609357524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2018
Last Update: August 28, 2018
Sole Proprietor: No

Mailing Address

7131 S Towncrest Dr

Cottonwood Heights, UT 841213822

Phone: 3852425205

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.