MR. MIKE LYNN NICKLESS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023360013

MR. MIKE LYNN NICKLESS (CRNA) is a healthcare provider. based in Sebring, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP 1259332 (FL). The NPI Number for MR. MIKE LYNN NICKLESS (CRNA) is 1023360013

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
MR. MIKE LYNN NICKLESS (CRNA)
NPI
1023360013
Phone
(863) 385-2222
Address
6325 US HIGHWAY 27 N
Enumeration Date
15 October 2012
Last Update Date
5 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8633852222
Graduation Year
1974 (52 years ago)
PAC ID
6709187909
Group Practice PAC ID
0547168114
Professional Enrollment ID
I20161011002789
Address ID
FL338701323SE5115XNXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for MR. MIKE LYNN NICKLESS (CRNA)

  • 6325 US HIGHWAY 27 N

    STE 201

    SEBRING, FL 338708226

    Phone: (863) 385-2222

    Fax: (863) 382-8765

    Type: Mailing

  • 28445 JOLLY ROGER DR

    LITTLE TORCH KEY, FL 330425500

    Phone: (407) 619-7655

    Fax: (305) 572-7035

    Type: Location

  • 5115 US HIGHWAY 27 N STE 100

    SEBRING, FL 338701323

    Phone: (863) 385-2222

    Fax: (863) 382-8765

    Type: Mailing

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: 2016-10-11

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
I20161011002789ICertified Registered Nurse Anesthetist (Crna)FLTBD

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 endoscope576573$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope375372$0
00813Anesthesia for procedure on small and large bowel using an endoscope239239$0
01942Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance3222$0
01941Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of neck or upper back accessed through skin using imaging guidance2118$0
View full utilization report →

Insurance plans in this area (ZIP 33870)

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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: 0547168114View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Orthopedic SurgeryFL
-FL
Physical Medicine And RehabilitationFL
Orthopedic SurgeryFL
-FL
Anesthesiology, Interventional Pain ManagementMI
Orthopedic SurgeryFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

What identifier follows MR. MIKE LYNN NICKLESS (CRNA) across health systems?
The NPI 1023360013 uniquely identifies MR. MIKE LYNN NICKLESS (CRNA) in U.S. healthcare data.
Should I treat MR. MIKE LYNN NICKLESS (CRNA) as an active provider?
Patients and plans typically see MR. MIKE LYNN NICKLESS (CRNA) as active in the national extract.
Which specialty label fits MR. MIKE LYNN NICKLESS (CRNA)?
NPPES ties MR. MIKE LYNN NICKLESS (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MR. MIKE LYNN NICKLESS (CRNA) tied to Sebring, Florida?
If you are local to Sebring, Florida, MR. MIKE LYNN NICKLESS (CRNA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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