NICOLE LETELLIER – Certified Registered Nurse Anesthetist, NPI 1063114874

NICOLE LETELLIER is a healthcare provider. based in Columbus, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN.441706 (OH). The NPI Number for NICOLE LETELLIER is 1063114874

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LETELLIER
NPI
1063114874
Phone
(419) 618-1253
Address
366 KING AVE APT A
Enumeration Date
17 March 2023
Last Update Date
30 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142345000
Graduation Year
2023 (3 years ago)
PAC ID
2668827882
Group Practice PAC ID
3779714258
Professional Enrollment ID
I20231009000869
Address ID
OH431232546GR5300XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for NICOLE LETELLIER

  • 366 KING AVE APT A

    COLUMBUS, OH 432012616

    Phone: (419) 618-1253

    Type: Mailing

  • 5300 N MEADOWS DR

    GROVE CITY, OH 431232546

    Phone: (614) 663-5000

    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: 2023-10-09

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
I20231009000869ICertified Registered Nurse Anesthetist (Crna)OHTBD

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 43201)

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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: 3779714258View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

Can I cross-check NICOLE LETELLIER using NPI 1063114874?
NPI 1063114874 belongs to NICOLE LETELLIER; compare other details if you need extra assurance.
Is there an active status for NICOLE LETELLIER?
For scheduling context, NICOLE LETELLIER is shown as active in the registry.
What kind of doctor is NICOLE LETELLIER?
NICOLE LETELLIER is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Where in Ohio is NICOLE LETELLIER registered?
Use Columbus, Ohio as the headline location for NICOLE LETELLIER here.
Can I trust this NPI listing for NICOLE LETELLIER?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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