Nicole C Liebertz, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Seattle, WA

Nicole C Liebertz, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Seattle, Washington. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Paceline Anesthesia, Pllc, Washington Gastroenterology Pllc and her current practice location is 1959 Ne Pacific St, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 520-5000.

Nicole C Liebertz is licensed to practice in Washington (license number AP60659234) 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 1528303997.

Contact Information

Nicole C Liebertz, CRNA
1959 Ne Pacific St,
Seattle, WA 98195
(206) 520-5000
Not Available

Map and Direction




Provider's Profile

Full NameNicole C Liebertz
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location1959 Ne Pacific St, Seattle, Washington
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:
  • Nicole C Liebertz graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1528303997
  • Provider Enumeration Date: 12/11/2012
  • Last Update Date: 08/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3375797970
  • Enrollment ID: I20161020000080

Medical Identifiers

Medical identifiers for Nicole C Liebertz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528303997NPI-NPPES
1528303997MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN60659233 (Washington)Secondary
367500000XNurse Anesthetist, Certified Registered AP60659234 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Paceline Anesthesia, Pllc579985309926
Washington Gastroenterology Pllc6204194848111

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. Nicole C Liebertz allows following entities to bill medicare on her behalf.
Entity NameMatrix Anesthesia, Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831146422
PECOS PAC ID: 3971403700
Enrollment ID: O20040109000422
Entity NamePaceline Anesthesia, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417273780
PECOS PAC ID: 5799853099
Enrollment ID: O20081013000526
Entity NameWashington Gastroenterology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306364401
PECOS PAC ID: 6204194848
Enrollment ID: O20180103000884
Entity NameEvergreen Eye Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134839319
PECOS PAC ID: 7315317112
Enrollment ID: O20230111001798

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. Nicole C Liebertz 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
Nicole C Liebertz, CRNA
Po Box 50095,
Seattle, WA 98145-5095

Ph: (206) 520-5700
Nicole C Liebertz, CRNA
1959 Ne Pacific St,
Seattle, WA 98195

Ph: (206) 520-5000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Seattle, WA

Timothy D Butterworth, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 325 9th Ave, Seattle, WA 98104
Phone: 206-520-5000    
Mrs. Sara Beth Maples, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1959 Ne Pacific St, Box 356540, Seattle, WA 98195
Phone: 206-598-4260    
Simran Kennedy, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 325 9th Ave, Box 359724, Seattle, WA 98104
Phone: 206-744-8491    Fax: 206-744-8009
Michael Mielniczek, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1959 Ne Pacific St, Seattle, WA 98195
Phone: 206-520-5000    
Justin R. Howard,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1959 Ne Pacific St, Seattle, WA 98195
Phone: 206-520-5000    
Peyton G. Lane, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 325 9th Ave, Seattle, WA 98104
Phone: 206-520-5000    
Vanessa Fernandez,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1100 9th Ave, Seattle, WA 98101
Phone: 206-624-1144    

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.