PAUL WENDELL NICHOLSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1265997985
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in UT
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Provider Addresses for PAUL WENDELL NICHOLSON (CRNA)
2308, 900 East, Sugar House, Salt Lake City, Salt Lake County, Utah, 84106, United States
SALT LAKE CITY, UT 841062202
Phone: (435) 770-9543
Type: Mailing
North Triumph Boulevard, Lehi, Utah County, Utah, 84043, United States
LEHI, UT 840434999
Phone: (435) 770-9543
Type: Location
201 CANYON CREST DR STE 100
TWIN FALLS, ID 833015935
Phone:
Type: Mailing
201 CANYON CREST DR
TWIN FALLS, ID 833015934
Phone: (208) 734-7362
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: 2022-01-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220118000300 | I | Certified Registered Nurse Anesthetist (Crna) | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 34 | 34 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 29 | 29 | $0 |
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 18 | 18 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 15 | 15 | $0 |
| 01214 | Anesthesia for total hip replacement | 13 | 13 | $0 |
Insurance plans in this area (ZIP 84106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ID | |
| Family Practice | ID | |
| Cardiovascular Disease (Cardiology) | MN | |
| Family Practice | ID | |
| - | NM | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Physician Assistant | ID | |
| P S Y C H I A T R Y | ID | |
| Gastroenterology, Internal Medicine, Family Practice | MT | |
| Family Practice | ID |
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