NANCIE L NICKLESS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1245349000

NANCIE L NICKLESS (CRNA) is a healthcare provider. based in Orlando, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP1097752 (FL). The NPI Number for NANCIE L NICKLESS (CRNA) is 1245349000

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
NANCIE L NICKLESS (CRNA)
NPI
1245349000
Phone
(321) 841-4603
Address
92 W MILLER ST
Enumeration Date
29 August 2006
Last Update Date
10 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8165000021
Graduation Year
1990 (36 years ago)
PAC ID
8729163670
Group Practice PAC ID
6901285709
Professional Enrollment ID
I20080317000479
Address ID
FL346836739PA1325XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

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Provider Addresses for NANCIE L NICKLESS (CRNA)

  • Bert Martin's Champions for Children Emergency Department & Trauma Center, 92, Miller Street, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 328062032

    Phone: (321) 841-4603

    Fax: (321) 841-4603

    Mailing address matches the actual address.

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: 2008-03-17

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
I20080317000479ICertified 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 endoscope5251$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3838$0
00813Anesthesia for procedure on small and large bowel using an endoscope2525$0
00812Anesthesia for exam of colon using an endoscope1616$0
00142Anesthesia for lens surgery1313$0
View full utilization report →

Insurance plans in this area (ZIP 32806)

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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: 6901285709View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GU
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for NANCIE L NICKLESS (CRNA)?
NANCIE L NICKLESS (CRNA) — NPI 1245349000 — is the standard way to identify this listing.
Can I rely on NANCIE L NICKLESS (CRNA) being an active provider?
As of the registry snapshot, NANCIE L NICKLESS (CRNA) is marked active.
What healthcare role does NANCIE L NICKLESS (CRNA) hold?
Scheduling teams often label NANCIE L NICKLESS (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does NANCIE L NICKLESS (CRNA) serve?
NANCIE L NICKLESS (CRNA)'s listing highlights Orlando, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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