ROBERT DANIEL III NICHOLAS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1366012361
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA
Provider Addresses for ROBERT DANIEL III NICHOLAS (CRNA)
1133 Eagles Landing Pkwy
Stockbridge, GA 302815085
Phone: (678) 604-1053
Type: Location
1781 STONEMAN DR
SUISUN CITY, CA 945853218
Phone: (678) 699-1559
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fisher & Paykel Healthcare Inc | $125 |
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: 2024-11-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240507002983 | I | Certified Registered Nurse Anesthetist (Crna) | CA | TBD |
| I20241126001068 | I | Certified Registered Nurse Anesthetist (Crna) | GA | TBD |
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.
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 30281)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.