Alexa Victoria Nickel, APRN
NPI 1811488976ActiveIndividual· Nurse Practitioner, Family· Salt Lake City, UT
Nurse Practitioner, Family (APRN) with Mountainstar Specialty Services LLC, practicing in Salt Lake City, Utah. 51 Medicare patients in 2024, $21,570 paid; all of their 154 Part D prescriptions were generic. Mimedx Group, Inc. was the largest of 3 companies reporting payments in 2025, $382.71 in all, mostly food and beverage. Lists St Mark's Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1811488976 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | May 24, 2018 |
| Last updated in NPPES | Jan 31, 2024 |
| Certified by provider | Jan 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 9127639-4405 | UT |
| Registered Nurse | 163W00000X | 9127639-3102 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 51 |
|---|---|
| Services billed | 390 across 40 procedure codes |
| Paid by Medicare | $21,570 |
Part D prescriptions in 2024
| Prescriptions (claims) | 154 · 164 30-day fills |
|---|---|
| Patients | 59 |
| Total drug cost | $1,563 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Mountainstar Specialty Services LLCWest Jordan, UT · 30 clinicians
Hospital affiliations
- St Mark's HospitalSalt Lake City, UT
- University of Utah Hospital and ClinicsSalt Lake City, UT
Industry payments (Open Payments)
- 2025$382.71 · 20 payments from 3 companies
- 2024$32.60 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mimedx Group, Inc. | $196.64 | 15 |
| Solventum Corporation | $166.37 | 4 |
| Urgo Medical North America, LLC | $19.70 | 1 |
What the 2025 payments were for
- Food and Beverage$382.71 · 20 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family nurse practitioners in Salt Lake City
- 1003547845
- 1003682105
- 1013619857
- 1023391083
- 1073798203
- 1083105506
- 1083691737
- 1093065385
- 1104580356
- 1114413846
- 1114587482
- 1144889940
All 465 family nurse practitioners in Salt Lake City · All family nurse practitioners in Utah