Mrs Kelly Amanda Merritt Nichols, CRNA, DNP - Medicare Certified Registered Nurse Anesthetist (crna) in Dallas, TX

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Mrs Kelly Amanda Merritt Nichols, CRNA, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dallas, Texas. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice American Pain And Wellness Pa, Metropolitan Anesthesia Consultants, Llp, Endo Sedation Llc, Spine Team Texas Pa, Dallas County Hospital District and her current practice location is 5200 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 528-5700.

Mrs Kelly Amanda Merritt Nichols is licensed to practice in Texas (license number 780523) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104371418.

Contact Information

Mrs Kelly Amanda Merritt Nichols, CRNA, DNP
5200 Harry Hines Blvd,
Dallas, TX 75235
(817) 528-5700
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kelly Amanda Merritt Nichols
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location5200 Harry Hines Blvd, Dallas, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kelly Amanda Merritt Nichols graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1104371418
  • Provider Enumeration Date: 08/17/2016
  • Last Update Date: 06/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7214223478
  • Enrollment ID: I20160914001587

Medical Identifiers

Medical identifiers for Mrs Kelly Amanda Merritt Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104371418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 780523 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical Center Of MckinneyMckinney, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Pain And Wellness Pa155737860114
Metropolitan Anesthesia Consultants, Llp3971516642136
Endo Sedation Llc4789845363291
Spine Team Texas Pa650788875722
Dallas County Hospital District8325934813483

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. Mrs Kelly Amanda Merritt Nichols allows following entities to bill medicare on her behalf.
Entity NameDallas County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831198506
PECOS PAC ID: 8325934813
Enrollment ID: O20040315000583
Entity NameSpine Team Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629082995
PECOS PAC ID: 6507888757
Enrollment ID: O20051230000616
Entity NameAmerican Pain & Wellness Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306857305
PECOS PAC ID: 1557378601
Enrollment ID: O20060314000575
Entity NameMetropolitan Anesthesia Consultants, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902859697
PECOS PAC ID: 3971516642
Enrollment ID: O20060725000055
Entity NameEndo Sedation Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588931174
PECOS PAC ID: 4789845363
Enrollment ID: O20120406000221
Entity NameOrthomed Staffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225514276
PECOS PAC ID: 9638429178
Enrollment ID: O20180905000794

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. Mrs Kelly Amanda Merritt 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
Mrs Kelly Amanda Merritt Nichols, CRNA, DNP
5200 Harry Hines Blvd,
Dallas, TX 75235-7709

Ph: (817) 528-5700		Mrs Kelly Amanda Merritt Nichols, CRNA, DNP
5200 Harry Hines Blvd,
Dallas, TX 75235

Ph: (817) 528-5700

Reviews and Comments


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Hannah Neipp Murdock, CRNA
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Jeannie K Murphy, CRNA
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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.