Brienna Nichols, CRNA - Medicare Nurse Anesthetist, Certified Registered in Phoenix, AZ

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Brienna Nichols, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Phoenix, Arizona. Her current practice location is 2000 W Bethany Home Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 249-0212.

Brienna Nichols is licensed to practice in Arizona (license number CRNA280929) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760104293.

Contact Information

Brienna Nichols, CRNA
2000 W Bethany Home Rd,
Phoenix, AZ 85015-2443
(602) 249-0212
Not Available

Map and Direction




Provider's Profile

Full NameBrienna Nichols
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location2000 W Bethany Home Rd, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760104293
  • Provider Enumeration Date: 09/12/2022
  • Last Update Date: 09/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820466212
  • Enrollment ID: I20221115003588

Medical Identifiers

Medical identifiers for Brienna Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760104293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 280929 (Arizona)Secondary
367500000XNurse Anesthetist, Certified Registered CRNA280929 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brienna Nichols allows following entities to bill medicare on her behalf.
Entity NameDec Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093006520
PECOS PAC ID: 9335319086
Enrollment ID: O20110907001087
Entity NameSummit Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821589144
PECOS PAC ID: 3971850892
Enrollment ID: O20180724002694
Entity NameDesert Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750013223
PECOS PAC ID: 8729461207
Enrollment ID: O20220816001930

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brienna Nichols is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brienna Nichols, CRNA
26440 N 99th Ave,
Peoria, AZ 85383-9702

Ph: (480) 254-1517		Brienna Nichols, CRNA
2000 W Bethany Home Rd,
Phoenix, AZ 85015-2443

Ph: (602) 249-0212

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Phoenix, AZ

Jenny Mcdonald, CRNA
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Practice Location: 4212 N 16th St, Phoenix, AZ 85016
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Rufus Lee Casey, CRNA
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Phone: 602-263-1511    Fax: 602-263-1637
Maria M Valentin, CRNA
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Jeanmarie Altieri, CRNA
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Phone: 602-262-8900    Fax: 602-262-8890
Richard Warren Busby, CRNA
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Phone: 480-301-8000    Fax: 480-301-4988
Leila Mclawhorn,
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Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008
Phone: 602-344-5039    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.