Johnathan Tyler Nicholls, CRNA in Scottsdale, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Johnathan Tyler Nicholls, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Scottsdale, Arizona. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Partners And Management Llc and his current practice location is 8424 E Shea Blvd Ste 101, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 256-1520.

Johnathan Tyler Nicholls is licensed to practice in Arizona (license number 1494) 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 1639684699.

Contact Information

	Johnathan Tyler Nicholls, CRNA
	8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260
	(480) 256-1520
	(480) 478-6628

Map and Direction

Provider's Profile

Full Name	Johnathan Tyler Nicholls
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	8424 E Shea Blvd Ste 101, Scottsdale, Arizona
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:

Johnathan Tyler Nicholls graduated from nursing school in 2017

NPI Data:

NPI Number: 1639684699
Provider Enumeration Date: 12/12/2017
Last Update Date: 07/10/2018

Medicare PECOS Information:

PECOS PAC ID: 1254693203
Enrollment ID: I20180403000563

Medical Identifiers

Medical identifiers for Johnathan Tyler Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639684699	NPI	-	NPPES
390207	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	6566569-3102 (Utah)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	1494 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Arrowhead Hospital	Glendale, AZ	Hospital
Banner - University Medical Center Phoenix	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Partners And Management Llc	9931429198	129

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. Johnathan Tyler Nicholls allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Partners & Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20150529000706

Entity Name	Anesthesia Partners Of Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927

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. Johnathan Tyler Nicholls 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
Johnathan Tyler Nicholls, CRNA 9424 W Eaton Rd, Phoenix, AZ 85037-4274 Ph: (801) 808-2672	Johnathan Tyler Nicholls, CRNA 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260 Ph: (480) 256-1520

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Scottsdale, AZ

Brett Tolpa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Gina Munson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Michael Moskowitz, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Christopher David Hess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Edna Kemboi, DNAP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 Fax: 904-953-0115
Paul Jordan Stievo, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13400 E. Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Gertrude F Neill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6906 E Exeter Blvd, Scottsdale, AZ 85251 Phone: 239-000-0000

Johnathan Tyler Nicholls, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Scottsdale, AZ