NICOLE MARIE SANTIAGO SEVASTOS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1770889321

NICOLE MARIE SANTIAGO SEVASTOS (CRNA) is a healthcare provider. based in Lyndhurst, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 12154 (OH). The NPI Number for NICOLE MARIE SANTIAGO SEVASTOS (CRNA) is 1770889321

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARIE SANTIAGO SEVASTOS (CRNA)
NPI
1770889321
Phone
(330) 559-4289
Address
5560 LANSBURY LN
Enumeration Date
30 January 2011
Last Update Date
6 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2165319000
Graduation Year
2011 (15 years ago)
PAC ID
6608057484
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20110228000302
Address ID
OH441191078EU18901BLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

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

Provider Addresses for NICOLE MARIE SANTIAGO SEVASTOS (CRNA)

  • 5560 LANSBURY LN

    LYNDHURST, OH 441243818

    Phone: (330) 559-4289

    Type: Mailing

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone: (216) 444-6547

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Mindray DS USA, Inc. ($55).

Total Amount

$72

General + Research + Ownership

Payments

2

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-02-28

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
I20110228000302ICertified 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 44124)

Loading plans...

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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

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.

Frequently asked questions

Can I verify NICOLE MARIE SANTIAGO SEVASTOS (CRNA) with an NPI only?
You can start verification with NPI 1770889321 for NICOLE MARIE SANTIAGO SEVASTOS (CRNA), then check state licensing separately.
Is NICOLE MARIE SANTIAGO SEVASTOS (CRNA) listed as active for patients and plans?
The listing shows NICOLE MARIE SANTIAGO SEVASTOS (CRNA) as active in the NPI system.
What taxonomy line describes NICOLE MARIE SANTIAGO SEVASTOS (CRNA)?
For research purposes, treat NICOLE MARIE SANTIAGO SEVASTOS (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does NICOLE MARIE SANTIAGO SEVASTOS (CRNA) serve?
NICOLE MARIE SANTIAGO SEVASTOS (CRNA)'s listing highlights Lyndhurst, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

MS. SHARON HELD (C.R.N.A.)

Certified Registered Nurse Anesthetist
PO BOX 567
NPI: 1689675779

MR. LINCOLN D GISEL (C.R.N.A.)

Certified Registered Nurse Anesthetist
29017, Cedar Road, Lyndhurst, Cuyahoga County, Ohio, 44124, United States
NPI: 1962403048

MR. BRENDAN HERNON (C.R.N.A.)

Certified Registered Nurse Anesthetist
PO BOX 567
NPI: 1891797866

Unknown Individual

Certified Registered Nurse Anesthetist
PO BOX 567
NPI: 1528060480

MS. JULIE GILLETTE (C.R.N.A.)

Certified Registered Nurse Anesthetist
1, East Broad Street, Washington Avenue Historic District, Elyria, Lorain County, Ohio, 44035, United States
NPI: 1558354647

MR. JAMES GIULITTO (C.R.N.A.)

Certified Registered Nurse Anesthetist
PO BOX 567
NPI: 1376536466

MRS. JENNIFER HONSAKER (CRNA)

Certified Registered Nurse Anesthetist
29017, Cedar Road, Lyndhurst, Cuyahoga County, Ohio, 44124, United States
NPI: 1376536557

DIANE MAYO (CRNA)

Certified Registered Nurse Anesthetist
PO BOX 567
NPI: 1942293741

LEGACY ANESTHESIA SERVICES LLC

Certified Registered Nurse Anesthetist
5035 MAYFIELD RD
NPI: 1760741292