MS. CYNTHIA D NICHOLAS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1710142617

MS. CYNTHIA D NICHOLAS (CRNA) is a healthcare provider. based in St petersburg, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN 2716692 (FL). The NPI Number for MS. CYNTHIA D NICHOLAS (CRNA) is 1710142617

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MS. CYNTHIA D NICHOLAS (CRNA)
NPI
1710142617
Phone
(727) 767-8480
Address
501 6TH AVE S
Enumeration Date
21 July 2008
Last Update Date
8 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047852000
Graduation Year
2008 (18 years ago)
PAC ID
4183786486
Group Practice PAC ID
4688812498
Professional Enrollment ID
I20250318003312
Address ID
GA300221059AT1364XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

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

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Provider Addresses for MS. CYNTHIA D NICHOLAS (CRNA)

  • Johns Hopkins All Children's Hospital, 501, 6th Avenue South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States

    ST PETERSBURG, FL 337014634

    Phone: (727) 767-8480

    Fax: (727) 767-8420

    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: 2025-03-18

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
I20081220000119ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20230912003730ICertified Registered Nurse Anesthetist (Crna)MNTBD
I20250318003312ICertified Registered Nurse Anesthetist (Crna)GATBD

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 33701)

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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: 4688812498View full group profile
NameSpecialtyState
Critical Care (Intensivists)GA
Pediatric MedicinePA
Anesthesiology AssistantCO
-GA
-GA
A N E S T H E S I O L O G YMI
P A T H O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
Critical Care (Intensivists)GA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

What NPI should I save for MS. CYNTHIA D NICHOLAS (CRNA)?
Save NPI 1710142617 if you need a stable reference for MS. CYNTHIA D NICHOLAS (CRNA).
Is MS. CYNTHIA D NICHOLAS (CRNA) active in the national directory?
MS. CYNTHIA D NICHOLAS (CRNA)'s public NPI profile is in an active state.
What kind of provider is MS. CYNTHIA D NICHOLAS (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for MS. CYNTHIA D NICHOLAS (CRNA). Clinical services aligned with this taxonomy classification.
Where is MS. CYNTHIA D NICHOLAS (CRNA)'s primary listing?
We display St Petersburg, Florida because that is what the record indicates for MS. CYNTHIA D NICHOLAS (CRNA).
What if St Petersburg, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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