Mark Roland Nickle, FNP
Mark Roland Nickle is a Family Nurse Practitioner provider (Nurse Practitioner) practicing in Roy, UT, registered in the NPPES registry with NPI 1134769342 since 2020. The credential FNP stands for Family Nurse Practitioner. Practices at Utah Cvs Pharmacy, L.L.C. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1134769342 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mark Roland Nickle |
| Credential | FNP |
| Sex | Male |
| Practice address | Roy, UT, 84067 |
| Phone | 8018255648 |
| Enumeration date | 2020-01-15 |
| Last updated in NPPES | 2021-05-27 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Secondary | 6234684-4405 | UT |
| 363LF0000X | Family Nurse Practitioner | Primary | 6234684-4405 | UT |
FNP — Family Nurse Practitioner: A nurse practitioner certified in family practice across the lifespan. About the FNP credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134769342 | Medicaid | UT | — |
Copy-ready billing details
Provider: Mark Nickle, FNP NPI: 1134769342 Taxonomy: 363LF0000X (Family Nurse Practitioner) Address: Roy, UT, 84067
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1952735375 | Utah Cvs Pharmacy, L.L.C. | Organization | Pharmacy | Roy, UT |
| 1326614686 | Sabina Wayment | Individual | Pharmacist | Roy, UT |
| 1245160845 | Jamie Gleason | Individual | Pharmacist | Roy, UT |
Verify this record
Cross-check NPI 1134769342 against the authoritative CMS record: view Mark Roland Nickle on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Mark Nickle?
Where does Mark Nickle practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-05-27.