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Nicole Marie Johnson, PA-C

NPI 1033414248ActiveIndividual· Physician Assistant· Midvale, UT

Opted out of Medicare from July 2024 to July 2028. Physician Assistant (PA-C) in Midvale, Utah, licensed in UT, with an NPI issued in January 2011. Novo Nordisk Inc reported $16.29 in payments in 2025, mostly food and beverage.

Overview

NPI1033414248
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedJan 19, 2011
Last updated in NPPESJun 23, 2020
Certified by providerJun 23, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X8975784-1206UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jul 1, 2024 – Jul 1, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$16.29 · 1 payment from 1 company
  • 2024$135.76 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Novo Nordisk Inc$16.291

What the 2025 payments were for

  • Food and Beverage$16.29 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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