NICHOLAS JOHN PACIONE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1740652791

NICHOLAS JOHN PACIONE (CRNA) is a healthcare provider. based in Pueblo, Colorado. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APRN.CRNA.019468 (OH). The NPI Number for NICHOLAS JOHN PACIONE (CRNA) is 1740652791

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS JOHN PACIONE (CRNA)
NPI
1740652791
Phone
(719) 696-4579
Address
6285 MUDDY CREEK RD
Enumeration Date
28 October 2015
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5202633835
Graduation Year
2015 (11 years ago)
PAC ID
0941503510
Group Practice PAC ID
4284813940
Professional Enrollment ID
I20170725002889
Address ID
AZ856359110SI5700X90XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:10State licenses:6Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for NICHOLAS JOHN PACIONE (CRNA)

  • 6285 MUDDY CREEK RD

    PUEBLO, CO 810049751

    Phone: (719) 696-4579

    Type: Mailing

  • 333 SMITH AVE N

    SAINT PAUL, MN 551022344

    Phone: (651) 241-8000

    Type: Location

  • 7318 LINCOLN ESTATES DR

    YAKIMA, WA 989085419

    Phone: (509) 208-2732

    Type: Mailing

  • 1600 S ANDREWS AVE

    FORT LAUDERDALE, FL 333162510

    Phone: (954) 355-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170725002889ICertified Registered Nurse Anesthetist (Crna)AZTBD
I20191104002682ICertified Registered Nurse Anesthetist (Crna)OHTBD
I20230404002730ICertified Registered Nurse Anesthetist (Crna)WATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284813940View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOK
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)AZ
-AZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AZ
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)OR

Reviews

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Frequently asked questions

What federal number belongs to NICHOLAS JOHN PACIONE (CRNA)?
The federal identifier for NICHOLAS JOHN PACIONE (CRNA) is NPI 1740652791.
Does this profile mean NICHOLAS JOHN PACIONE (CRNA) is currently active?
Yes — NICHOLAS JOHN PACIONE (CRNA) appears active in the national provider directory.
Can you summarize NICHOLAS JOHN PACIONE (CRNA)'s specialty in plain language?
Clinically, the directory lists NICHOLAS JOHN PACIONE (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does NICHOLAS JOHN PACIONE (CRNA) practice in Colorado?
You will see Pueblo, Colorado on file for NICHOLAS JOHN PACIONE (CRNA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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