NICOLE HAYWORTH – Certified Registered Nurse Anesthetist, NPI 1033508858

NICOLE HAYWORTH is a healthcare provider. based in Omaha, Nebraska. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 69733 (NE). The NPI Number for NICOLE HAYWORTH is 1033508858

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE HAYWORTH
NPI
1033508858
Phone
(402) 559-4081
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
16 January 2015
Last Update Date
16 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4025594015
Graduation Year
2015 (11 years ago)
PAC ID
5698094217
Group Practice PAC ID
6002728391
Professional Enrollment ID
I20150504001232
Address ID
NE681980001OMEMILESTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

534 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NE

Provider Addresses for NICOLE HAYWORTH

  • 988102 NEBRASKA MEDICAL CTR

    OMAHA, NE 681988102

    Phone: (402) 559-4081

    Fax: (402) 559-7372

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$23
View all Open Payments →|Open Payments Risk Radar →

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: 2017-03-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150504001232ICertified Registered Nurse Anesthetist (Crna)NETBD
I20170321000376ICertified Registered Nurse Anesthetist (Crna)IATBD

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
00142Anesthesia for lens surgery2625$0
00812Anesthesia for exam of colon using an endoscope2323$0
76942Ultrasonic guidance for needle placement2321$0
00410Anesthesia for procedure to correct abnormal heart rhythm1918$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1211$0
View full utilization report →

Insurance plans in this area (ZIP 68198)

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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: 6002728391View full group profile
NameSpecialtyState
Physician AssistantNE
Infectious DiseaseNE
N E U R O L O G YNE
P A T H O L O G YNE
Medical Oncology, Hematology/OncologyNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
G A S T R O E N T E R O L O G YNE
Internal MedicineNE
N E U R O S U R G E R YNE

Reviews

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Frequently asked questions

Can I use this page to confirm NICOLE HAYWORTH's NPI?
Yes. NICOLE HAYWORTH is listed with NPI 1033508858 in the public NPI dataset.
Does the file indicate NICOLE HAYWORTH is practicing under active NPI?
Directory data currently reports NICOLE HAYWORTH as active.
What is NICOLE HAYWORTH's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for NICOLE HAYWORTH here. Clinical services aligned with this taxonomy classification.
What address line appears for NICOLE HAYWORTH?
NICOLE HAYWORTH's geographic hint is Omaha, Nebraska in our summary view.
Is the information about NICOLE HAYWORTH up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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