MR. NATHAN VANVICKLE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1922432970

MR. NATHAN VANVICKLE (CRNA) is a healthcare provider. based in West richland, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 201391621RN (OR). The NPI Number for MR. NATHAN VANVICKLE (CRNA) is 1922432970

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. NATHAN VANVICKLE (CRNA)
NPI
1922432970
Phone
(541) 910-3878
Address
6612 OPAL CT
Enumeration Date
27 August 2013
Last Update Date
8 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607541727
Graduation Year
2015 (11 years ago)
PAC ID
9537465836
Group Practice PAC ID
4789571092
Professional Enrollment ID
I20160314000641
Address ID
WA985028144OL406XXSWXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for MR. NATHAN VANVICKLE (CRNA)

  • 6612 OPAL CT

    WEST RICHLAND, WA 993537961

    Phone: (541) 910-3878

    Type: Mailing

  • 888 SWIFT BLVD

    RICHLAND, WA 993523514

    Phone: (541) 910-3878

    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: 2016-03-14

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
I20160314000641ICertified Registered Nurse Anesthetist (Crna)WATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope357354$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope135128$0
00812Anesthesia for exam of colon using an endoscope8686$0
00813Anesthesia for procedure on small and large bowel using an endoscope6666$0
View full utilization report →

Insurance plans in this area (ZIP 99353)

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Provider's Procedures

MR. NATHAN VANVICKLE (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETWA00790Anesthesia for procedure in upper abdomen including use of an endoscope1414
CERTIFIED REGISTERED NURSE ANESTHETWA01402Anesthesia for open or endoscopic total knee joint replacement1111

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: 4789571092View full group profile
NameSpecialtyState
P A T H O L O G YWA
P A T H O L O G YFL
Certified Registered Nurse Anesthetist (Crna)WA
Nurse PractitionerWA
Certified Registered Nurse Anesthetist (Crna)NE
N E U R O L O G YWA
Gastroenterology, Internal MedicineWA
Certified Registered Nurse Anesthetist (Crna)WA
Gastroenterology, Internal MedicineWA
Certified Registered Nurse Anesthetist (Crna)WA

Reviews

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Frequently asked questions

Can I cross-check MR. NATHAN VANVICKLE (CRNA) using NPI 1922432970?
NPI 1922432970 belongs to MR. NATHAN VANVICKLE (CRNA); compare other details if you need extra assurance.
Is MR. NATHAN VANVICKLE (CRNA) still an active registrant?
MR. NATHAN VANVICKLE (CRNA) carries an active NPI according to the public dataset.
What kind of doctor is MR. NATHAN VANVICKLE (CRNA)?
MR. NATHAN VANVICKLE (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is MR. NATHAN VANVICKLE (CRNA) associated with West Richland?
Public fields place MR. NATHAN VANVICKLE (CRNA) around West Richland, Washington. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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