GABRIELA KIM NUCKOLS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1861883514

GABRIELA KIM NUCKOLS (CRNA) is a healthcare provider. based in Decatur, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AP127882 (TX). The NPI Number for GABRIELA KIM NUCKOLS (CRNA) is 1861883514

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
GABRIELA KIM NUCKOLS (CRNA)
NPI
1861883514
Phone
(770) 643-5619
Address
609 MEDICAL CENTER DR
Enumeration Date
16 February 2015
Last Update Date
27 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9569688567
Graduation Year
2014 (12 years ago)
PAC ID
9133420854
Group Practice PAC ID
7012045685
Professional Enrollment ID
I20151222000335
Address ID
TX785966640WE1401XSTXX400
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

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

Provider Addresses for GABRIELA KIM NUCKOLS (CRNA)

  • 609 MEDICAL CENTER DR

    DECATUR, TX 762343836

    Phone: (770) 643-5619

    Type: Location

  • 4754 EMERALD TRACE WAY

    FORT WORTH, TX 762446951

    Phone: (682) 215-8219

    Type: Mailing

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 $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Boston Scientific Corporation ($56).

Total Amount

$56

General + Research + Ownership

Payments

1

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

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: 2015-12-22

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
I20151222000335ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
View full utilization report →

Insurance plans in this area (ZIP 76234)

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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: 7012045685View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)NJ
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)NE
A N E S T H E S I O L O G YTX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I use this page to confirm GABRIELA KIM NUCKOLS (CRNA)'s NPI?
Yes. GABRIELA KIM NUCKOLS (CRNA) is listed with NPI 1861883514 in the public NPI dataset.
Is GABRIELA KIM NUCKOLS (CRNA) still practicing?
GABRIELA KIM NUCKOLS (CRNA) is currently listed as active in the public NPI registry.
What taxonomy line describes GABRIELA KIM NUCKOLS (CRNA)?
For research purposes, treat GABRIELA KIM NUCKOLS (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for GABRIELA KIM NUCKOLS (CRNA)?
GABRIELA KIM NUCKOLS (CRNA)'s geographic hint is Decatur, Texas in our summary view.
Why does GABRIELA KIM NUCKOLS (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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