MR. ROSS ALAN NICKOLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1992748263
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,752 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN
Provider Addresses for MR. ROSS ALAN NICKOLEY (CRNA)
12492 AUDRAN RD 9931
MEXICO, MO 65265
Phone: (573) 590-4046
Type: Mailing
8000 Wolf River Blvd Ste 200
Germantown, TN 381381755
Phone: (901) 747-3630
Fax: (901) 747-4149
Type: Location
12492 AUDRAIN ROAD 9931
MEXICO, MO 652657231
Phone: (573) 590-4046
Type: Mailing
2201 WEST LAMPASASAS ST
ENNIS REGIONAL MEDICAL CENTER
ENNIS, TX 75119
Phone: (972) 875-0900
Fax: (469) 256-2459
Type: Location
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: 2026-02-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20040618001217 | I | Certified Registered Nurse Anesthetist (Crna) | VA | TBD |
| I20191219001537 | I | Certified Registered Nurse Anesthetist (Crna) | IN | TBD |
| I20220503001777 | I | Certified Registered Nurse Anesthetist (Crna) | TN | TBD |
| I20230910000025 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
| I20260214000781 | I | Certified Registered Nurse Anesthetist (Crna) | AZ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 13 | 13 | $0 |
Insurance plans in this area (ZIP 65265)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | IL | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| A N E S T H E S I O L O G Y | OH | |
| A N E S T H E S I O L O G Y | OR | |
| - | IL | |
| - | KS | |
| - | IN |
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