David Nicholson, CRNA in Boise, ID - Medicare Certified Registered Nurse Anesthetist (crna)

David Nicholson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boise, Idaho. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice St Alphonsus Professional Medical Services Llc and his current practice location is 1055 N Curtis Rd, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 367-6416.

David Nicholson is licensed to practice in Idaho (license number 59928) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912985755.

Contact Information

	David Nicholson, CRNA
	1055 N Curtis Rd, Boise, ID 83706-1309
	(208) 367-6416
	(208) 367-2742

Map and Direction

Provider's Profile

Full Name	David Nicholson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	27 Years
Location	1055 N Curtis Rd, Boise, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Nicholson attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1997

NPI Data:

NPI Number: 1912985755
Provider Enumeration Date: 01/03/2006
Last Update Date: 10/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9133170368
Enrollment ID: I20200807002432

Medical Identifiers

Medical identifiers for David Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912985755	NPI	-	NPPES
18100244	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	59928 (Idaho)	Primary
367500000X	Nurse Anesthetist, Certified Registered	R48739 (New Mexico)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	CRNA00752 (New Mexico)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	NA95000124 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Alphonsus Regional Medical Center	Boise, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Alphonsus Professional Medical Services Llc	7214849751	64

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. David Nicholson allows following entities to bill medicare on his behalf.

Entity Name	Boise Anesthesia, P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487602298 PECOS PAC ID: 8426960642 Enrollment ID: O20031105000132

Entity Name	Anesthesia Associates Of Boise, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033147467 PECOS PAC ID: 2668385287 Enrollment ID: O20031110000655

Entity Name	St Alphonsus Professional Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184

Entity Name	Overton/stiff Professional Anesthesia Service Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417065152 PECOS PAC ID: 6901793975 Enrollment ID: O20040507001312

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. David Nicholson 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 Address	Practice Location Address
David Nicholson, CRNA Po Box 190930, Boise, ID 83719-0930 Ph: (208) 302-9342	David Nicholson, CRNA 1055 N Curtis Rd, Boise, ID 83706-1309 Ph: (208) 367-6416

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Boise, ID

Allison Elisabeth May, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222
Mr. Douglas Neurath, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895
Jordan B Wolff, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 Fax: 208-338-1796
Nathan S Call, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222
Ashton Hope Mieritz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121
Kenneth Clark Stratton Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2559
Diana San Juan Shimko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-6416

David Nicholson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Boise, ID