NICOLE L ATACK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114268158

NICOLE L ATACK (CRNA) is a healthcare provider. based in Austin, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 729081 (TX). The NPI Number for NICOLE L ATACK (CRNA) is 1114268158

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE L ATACK (CRNA)
NPI
1114268158
Phone
(512) 558-1443
Address
PO BOX 300087
Enumeration Date
14 March 2013
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
5124077000
Graduation Year
2012 (14 years ago)
PAC ID
6608012190
Group Practice PAC ID
0547256497
Professional Enrollment ID
I20130430000100
Address ID
TX787564080AU3801XBLVD405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for NICOLE L ATACK (CRNA)

  • PO BOX 300087

    AUSTIN, TX 787030002

    Phone: (512) 558-1443

    Fax: (830) 885-2670

    Type: Mailing

  • 1110 N Sarah DeWitt Dr

    Gonzales, TX 786293311

    Phone: (830) 672-7581

    Fax: (830) 672-2401

    Type: Location

  • 3801 N LAMAR BLVD

    AUSTIN, TX 787564080

    Phone: (512) 558-1443

    Fax: (830) 885-2670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $433.

Total Amount is formed as General ($433) + Research ($0) + Ownership ($0) = $433.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ATRICURE, INC. ($161).

Total Amount

$433

General + Research + Ownership

Payments

17

Total payment records

General Amount

$433

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2023-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20130430000100ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20230711001451ICertified Registered Nurse Anesthetist (Crna)VATBD
I20230712003654ICertified Registered Nurse Anesthetist (Crna)DCTBD

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
01922Anesthesia for x-ray or radiation therapy5251$0
01844Anesthesia for placement or revision of blood flow shunt1514$0
00537Anesthesia for procedure to assess heart electrical activity1111$0
View full utilization report →

Insurance plans in this area (ZIP 78703)

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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: 0547256497View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
-TX
-TX
A N E S T H E S I O L O G YTX
-TX
A N E S T H E S I O L O G YTX
Anesthesiology AssistantTX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

Can I cross-check NICOLE L ATACK (CRNA) using NPI 1114268158?
NPI 1114268158 belongs to NICOLE L ATACK (CRNA); compare other details if you need extra assurance.
Active or inactive — what applies to NICOLE L ATACK (CRNA)?
You should see NICOLE L ATACK (CRNA) as active in CMS-hosted NPPES data.
How would a patient describe NICOLE L ATACK (CRNA)'s focus?
For NICOLE L ATACK (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NICOLE L ATACK (CRNA)?
Travel planning: use Austin, Texas as the reference point for NICOLE L ATACK (CRNA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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