MARY ELIZABETH NICHOLS (APRN) – Certified Registered Nurse Anesthetist, NPI 1518976885

MARY ELIZABETH NICHOLS (APRN) is a healthcare provider. based in Wethersfield, Connecticut. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials APRN. They hold a License No. 000004 (CT). The NPI Number for MARY ELIZABETH NICHOLS (APRN) is 1518976885

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELIZABETH NICHOLS (APRN)
NPI
1518976885
Phone
(860) 529-5810
Address
704 RIDGE RD
Enumeration Date
5 August 2006
Last Update Date
16 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604960455
Graduation Year
1986 (40 years ago)
PAC ID
4082615158
Group Practice PAC ID
9830110758
Professional Enrollment ID
I20070117000157
Address ID
CT067903493TO245XXRDXX401

Contacts

Secure Messaging
mnichols10420@direct.med.uchc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

792 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CT

Provider Addresses for MARY ELIZABETH NICHOLS (APRN)

  • 704, Ridge Road, Griswoldville, Wethersfield, Capitol Planning Region, Connecticut, 06109, United States

    WETHERSFIELD, CT 061092632

    Phone: (860) 529-5810

    Fax: (860) 571-9260

    Type: Mailing

  • 263 Farmington Ave

    Farmington, CT 060321956

    Phone: (860) 679-2000

    Type: Location

  • 99 EAST RIVER DRIVE

    5TH FLOOR

    EAST HARTFORD, CT 06108

    Phone: (860) 282-0833

    Fax: (860) 571-9260

    Type: Mailing

  • Saint Mary's Hospital, 56, Franklin Street, Exchange Place, Waterbury, New Haven County, Connecticut, 06706, United States

    WATERBURY, CT 067061221

    Phone: (203) 709-6196

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $617.

Total Amount is formed as General ($617) + Research ($0) + Ownership ($0) = $617.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($156).

Total Amount

$617

General + Research + Ownership

Payments

28

Total payment records

General Amount

$617

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20070117000157ICertified Registered Nurse Anesthetist (Crna)CTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 06109)

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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: 9830110758View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CT
Gastroenterology, Internal MedicineCT
-NY
Nurse PractitionerCT
Certified Registered Nurse Anesthetist (Crna)NY
G A S T R O E N T E R O L O G YCT
P A T H O L O G YWA
Internal Medicine, GastroenterologyCT
Physician AssistantCT
Certified Registered Nurse Anesthetist (Crna)CT

Reviews

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Frequently asked questions

What is the standard ID for MARY ELIZABETH NICHOLS (APRN) in the U.S.?
In the U.S., MARY ELIZABETH NICHOLS (APRN) is identified by NPI 1518976885.
Does the public listing show MARY ELIZABETH NICHOLS (APRN) as active?
MARY ELIZABETH NICHOLS (APRN)'s NPI record reflects an active status in NPPES.
What does the directory say MARY ELIZABETH NICHOLS (APRN) does?
Insurance directories may phrase it differently, but here MARY ELIZABETH NICHOLS (APRN) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Which community is linked to MARY ELIZABETH NICHOLS (APRN)?
MARY ELIZABETH NICHOLS (APRN) shows a connection to Wethersfield, Connecticut in registry-derived data.
Can I export MARY ELIZABETH NICHOLS (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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