NICHOLAS RYAN TUTTLE CRNA NPI 1003421751

Nurse Anesthetist, Certified Registered in Winston Salem, NC

NPI 1003421751 Individual Male Years of Experience 2 Nurse Anesthetist, Certified Registered Accepts Medicare Approved Payment

About NICHOLAS TUTTLE

Nicholas Tuttle is a provider established in Winston Salem, North Carolina and his medical specialization is nurse anesthetist, certified registered with more than 2 years of experience. He graduated from Wake Forest University School Of Medicine in 2020. The NPI number of Nicholas Tuttle is 1003421751 and was assigned on September 2020. The practitioner's primary taxonomy code is 367500000X with license number 134686 (NC). The provider is registered as an individual and his NPI record was last updated one year ago. Nicholas Tuttle is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1003421751

Provider Name NICHOLAS RYAN TUTTLE CRNA
Provider Location AddressMEDICAL CENTER BLVD WINSTON SALEM, NC 27157
Provider Mailing Address1010 POOL SIDE DR GERMANTON, NC 27019
GenderMale
NPI Entity TypeIndividual
Medical School NameWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2020
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-10-2020
Last Update Date09-10-2020


Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.134686
License StateNC
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Business Address

NICHOLAS RYAN TUTTLE CRNA
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 409-1797

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Mailing Address

NICHOLAS RYAN TUTTLE CRNA
1010 POOL SIDE DR
GERMANTON, NC
ZIP 27019
Phone: (336) 409-1797



Medicare Participation

PECOS PAC ID6204246358
PECOS Enrollment IDI20201102001015
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nicholas Tuttle is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTH CAROLINA BAPTIST HOSPITALMEDICAL CENTER BOULEVARD
WINSTON-SALEM, NC 27157
(336) 716-2011Acute Care Hospitals340047

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811990815MR. GARY LEE RAY MSN, CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-2555
1548264310 PETER A VALEN MD
Individual
Internal Medicine (Rheumatology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1427044973 CATHERINE MESSICK JONES MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1689655375 VERONICA JANE ABBOTT RN, MSN, FNP-C
Individual
Nurse Practitioner (Family)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1053393306MR. JAMES BOYD THOMAS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1962484212 MARTHA SCHELL SOOTS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-3069
1659352961MS. LINDA MARIE SANGIULIANO CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6701
1376524686 KAREN M HARP CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1962483297MRS. ALISA LAWSON STARBUCK RN NNP
Individual
Nurse Practitioner (Neonatal)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-6498
1477535599 RICHARD HENRY DEAN MD
Individual
Surgery (Vascular Surgery)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1366424483 CHERYL B KIRKPATRICK CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1386626349 CAROLYN RUTH FERREE MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1538141585 EDWARD GUS SHAW MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1356323307 ARTHUR WILLIAM BLACKSTOCK JR. MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1447232400 MARK CAUTHEN WILLINGHAM MD
Individual
Pathology (Anatomic Pathology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1528040581 BART ALAN FRIZZELL MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1396727996 RAMON VELEZ MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1154303519 PETER RIBACK LICHSTEIN MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1538141999 DAVID PHILIP MILLER JR. MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1497737894MRS. DONNA LEA MYERS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-2540

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.