Nancie L Nickless, CRNA | |
92 W Miller St, Orlando, FL 32806-2032 | |
(321) 841-4603 | |
(321) 841-4603 |
Full Name | Nancie L Nickless |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 35 Years |
Location | 92 W Miller St, Orlando, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245349000 | NPI | - | NPPES |
034627600 | Medicaid | FL | |
ARNP1097752 | Other | FL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP1097752 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Lake Wales | Lake wales, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ams National Llc | 3870813025 | 209 |
Entity Name | Orlando Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Entity Name | Thakkar Patel & Avalos Md's Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972565612 PECOS PAC ID: 5294755617 Enrollment ID: O20051130000740 |
Entity Name | Ams National Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
Mailing Address | Practice Location Address |
---|---|
Nancie L Nickless, CRNA 92 W Miller St, Orlando, FL 32806-2032 Ph: (321) 841-4603 | Nancie L Nickless, CRNA 92 W Miller St, Orlando, FL 32806-2032 Ph: (321) 841-4603 |
Danielle Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-667-0444 Fax: 407-667-4338 | |
Mary Amber Davis, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 27 Wintergreen Way, Orlando, FL 32825 Phone: 386-216-8994 | |
Darmela Shannon Thornton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-5600 | |
Stacey L. Bettes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 225 E Robinson St, Suite 130, Orlando, FL 32801 Phone: 407-581-9180 Fax: 865-560-7066 | |
Amanda Gabriele Hermida, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 52 W Underwood St, Orlando, FL 32806 Phone: 321-841-5111 | |
Mr. Said Ricardo Acosta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-650-7124 | |
William R Kogl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Mills Ave, Orlando, FL 32803 Phone: 407-872-2244 Fax: 407-926-9173 |