Nicole Davis Mock, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Raleigh, NC

  1. Home
  2. Nurse Anesthetist - CR
  3. NC
  4. Raleigh
Nicole Davis Mock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Raleigh, North Carolina. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Onslow Memorial Hospital Inc and her current practice location is 4420 Lake Boone Trl, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 784-3034.

Nicole Davis Mock is licensed to practice in North Carolina (license number 145026) 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 1396931895.

Contact Information

Nicole Davis Mock, CRNA
4420 Lake Boone Trl,
Raleigh, NC 27607-7505
(919) 784-3034
Not Available

Map and Direction




Provider's Profile

Full NameNicole Davis Mock
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location4420 Lake Boone Trl, Raleigh, North Carolina
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 Davis Mock graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1396931895
  • Provider Enumeration Date: 09/18/2007
  • Last Update Date: 12/15/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3476641234
  • Enrollment ID: I20071113000422

Medical Identifiers

Medical identifiers for Nicole Davis Mock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396931895NPI-NPPES
8052990MedicaidNC
P00449817OtherNCRAILRAOD-MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 145026 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Onslow Memorial HospitalJacksonville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Onslow Memorial Hospital Inc145625289955

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 Davis Mock allows following entities to bill medicare on her behalf.
Entity NameAmerican Anesthesiology Of North Carolina Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053677195
PECOS PAC ID: 2961316450
Enrollment ID: O20031229000004
Entity NameCumberland Anesthesia Associates, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942301494
PECOS PAC ID: 9739161688
Enrollment ID: O20040603001107
Entity NameSoutheast Anesthesiology Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538124201
PECOS PAC ID: 7719959873
Enrollment ID: O20040809001398
Entity NameCarteret County General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760479331
PECOS PAC ID: 7517877517
Enrollment ID: O20040901001048
Entity NameOnslow Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689855900
PECOS PAC ID: 1456252899
Enrollment ID: O20041221000112
Entity NameBladen Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558537282
PECOS PAC ID: 6800967969
Enrollment ID: O20080617000314

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 Davis Mock 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 Davis Mock, CRNA
3245 Rogers Rd,
Graham, NC 27253-7716

Ph: (336) 226-6527		Nicole Davis Mock, CRNA
4420 Lake Boone Trl,
Raleigh, NC 27607-7505

Ph: (919) 784-3034

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Raleigh, NC

Eric Linton,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607
Phone: 919-784-3100    
Brianne V Schreiber, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4044 Barton Park Pl, Raleigh, NC 27613
Phone: 330-503-7009    
Carol Goodson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2308 Wesvill Ct, Raleigh, NC 27607
Phone: 919-781-4311    
Christopher Michael Lamers, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3000 New Bern Ave, Raleigh, NC 27610
Phone: 919-350-5645    
Donna Ransom, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607
Phone: 919-784-3034    
Douglas Sanks, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3000 New Bern Ave, Raleigh, NC 27610
Phone: 919-350-5645    
Angela L Kinmann, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3000 New Bern Ave, Raleigh, NC 27610
Phone: 919-350-5645    

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.