Soutsada Nikki Konesavanh, PA-C
Medical Physician Assistant · Salt Lake City, UT
Soutsada Nikki Konesavanh, PA-C is a medical physician assistant with a practice address in Salt Lake City, Utah, and NPI 1417108606, issued on Oct 6, 2008. Check the license (Utah 7138480-1206, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Soutsada Nikki Konesavanh
- Credential
- PA-C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 7138480-1206 UT
Self-reported in NPPES; status is on the state search - Practice location
- 100 Mario Capecchi Dr, Salt Lake City, UT 84112
- Phone
- (801) 585-2341
- Enumerated
- Oct 6, 2008
- Record last updated
- Nov 17, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20090421000039); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 373 in Utah → Look up another NPI →
Also registered at 100 Mario Capecchi Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michelle Bunker, AUDAudiologist1427209980
- Stacey Butler, AU.D.Audiologist1831349000
- Michelle Cardon, CPNPPediatric Nurse Practitioner1861643280
- Craig Crookston, DPTPhysical Therapist1003064262
- Melissa Smith, CPNPPediatric Nurse Practitioner1720235948
- Sheryll Vanderhooft, M.D.Pediatric Dermatology Physician1356426829
Verify Soutsada Nikki Konesavanh in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 7138480-1206Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
95% fewer Medicare Part D claims than the average medical physician assistant in 2024
57 Medicare Part D claims for 42 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 95.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- University OF Utah Community Physicians GroupSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Soutsada Nikki Konesavanh among 373 medical physician assistant records in Utah
Soutsada Nikki Konesavanh, PA-C is one of 373 medical physician assistant records with a practice address in Utah. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 36% of them.
- NPI issued2008 · 36% of these records are older, 59% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2008 · median 2013 among the 226 with a school on file
- Record last updated2021 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in Utah
There are 373 medical physician assistant records in Utah.
All 373 in Utah → Every provider in Salt Lake City → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Danielle Fall, PASalt Lake City, UT 841121124401187
- Erica Farr, PA-CSalt Lake City, UT 841121063965671
- Loni Jakubowski, RPACSalt Lake City, UT 841121215112982
- Sean Kerry, PA-CSalt Lake City, UT 841121962320127
- Margaret Lovell, PASalt Lake City, UT 841121922093558
- Lauren Moulton, PA-CSalt Lake City, UT 841121851793178
- Nicole Orgain, PASalt Lake City, UT 841121518975127
- Joshua Quertinmont, PA-CSalt Lake City, UT 841121992339485
Common questions
What is Soutsada Nikki Konesavanh, PA-C's NPI number?
Soutsada Nikki Konesavanh, PA-C's National Provider Identifier (NPI) is 1417108606, issued on Oct 6, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Soutsada Nikki Konesavanh, PA-C located?
The NPPES record lists a practice address at 100 Mario Capecchi Dr, Salt Lake City, UT, 84112. Phone: (801) 585-2341. Providers update this record themselves, so call before visiting.
How can I verify Soutsada Nikki Konesavanh, PA-C's license?
NPPES lists Utah license number 7138480-1206, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
How much does Soutsada Nikki Konesavanh, PA-C prescribe under Medicare Part D?
In 2024, Soutsada Nikki Konesavanh, PA-C had 57 Medicare Part D claims for 42 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.
What is Soutsada Nikki Konesavanh, PA-C's MIPS final score?
The 2023 MIPS final score is 95.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.