Mr Nickolas K Willard, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Scottsdale, AZ

Mr Nickolas K Willard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Scottsdale, Arizona. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Amsurg North Valley Anesthesia Llc and his current practice location is 13400 E Shea Blvd, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 301-8000.

Mr Nickolas K Willard is licensed to practice in Arizona (license number CRNA1186) 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 1073816237.

Contact Information

Mr Nickolas K Willard, CRNA
13400 E Shea Blvd,
Scottsdale, AZ 85259-5452
(480) 301-8000
Not Available

Map and Direction




Provider's Profile

Full NameMr Nickolas K Willard
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location13400 E Shea Blvd, Scottsdale, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Nickolas K Willard graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1073816237
  • Provider Enumeration Date: 12/09/2010
  • Last Update Date: 04/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8426295031
  • Enrollment ID: I20160412001430

Medical Identifiers

Medical identifiers for Mr Nickolas K Willard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073816237NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209010303 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered CRNA1186 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Amsurg North Valley Anesthesia Llc74161214475

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. Mr Nickolas K Willard allows following entities to bill medicare on his behalf.
Entity NameNorth Valley Endoscopy Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1043239338
PECOS PAC ID: 0446254916
Enrollment ID: O20060914000512
Entity NameAmsurg North Valley Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629351788
PECOS PAC ID: 7416121447
Enrollment ID: O20111130000888
Entity NameTrojan Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750817300
PECOS PAC ID: 4981976206
Enrollment ID: O20170822002500
Entity NameSedation Experts, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407495237
PECOS PAC ID: 2769817493
Enrollment ID: O20200128002987
Entity NameVirtuous Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881168656
PECOS PAC ID: 6406275692
Enrollment ID: O20201008000820

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. Mr Nickolas K Willard 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
Mr Nickolas K Willard, CRNA
13400 E Shea Blvd,
Scottsdale, AZ 85259-5452

Ph: (480) 301-8000
Mr Nickolas K Willard, CRNA
13400 E Shea Blvd,
Scottsdale, AZ 85259-5452

Ph: (480) 301-8000

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    

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.