Samantha Sue Nicholson, CRNA in Falls Church, VA - Medicare Certified Registered Nurse Anesthetist (crna)

Samantha Sue Nicholson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Falls Church, Virginia. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Of Virginia, Llc and her current practice location is 3300 Gallows Rd, Falls Church, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 776-3138.

Samantha Sue Nicholson is licensed to practice in Virginia (license number 0024183333) 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 1578223285.

Contact Information

	Samantha Sue Nicholson, CRNA
	3300 Gallows Rd, Falls Church, VA 22042-3307
	(703) 776-3138
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Sue Nicholson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	3300 Gallows Rd, Falls Church, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Sue Nicholson graduated from nursing school in 2021

NPI Data:

NPI Number: 1578223285
Provider Enumeration Date: 12/21/2021
Last Update Date: 05/09/2022

Medicare PECOS Information:

PECOS PAC ID: 6305223835
Enrollment ID: I20220522000059

Medical Identifiers

Medical identifiers for Samantha Sue Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578223285	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0024183333 (Virginia)	Primary
163W00000X	Registered Nurse	925980 (Texas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Inova Fairfax Hospital	Falls church, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of Virginia, Llc	6608268826	361

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. Samantha Sue Nicholson allows following entities to bill medicare on her behalf.

Entity Name	American Anesthesiology Of Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20031120000429

Entity Name	Northstar Anesthesia Of Virginia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585

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. Samantha Sue Nicholson 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 Address	Practice Location Address
Samantha Sue Nicholson, CRNA 4000 Wilson Blvd Apt 505, Arlington, VA 22203-4404 Ph: (404) 931-7374	Samantha Sue Nicholson, CRNA 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 776-3138

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Falls Church, VA

Ms. Lorraine Kerwin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Fairfax Inova Hospital, Falls Church, VA 22042 Phone: 703-776-3138
Denise Hirsch Tola, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138
Brandy Louise Flanagan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001
Jason Cage, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138
Dr. Kirsten Kadlec-calhoun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001
Tracey L Cover, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138 Fax: 540-982-2719
Lijuan Huang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138

Samantha Sue Nicholson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Falls Church, VA