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NICKERSON ANESTHESIA & NURSING INC
NPI 1003479403
Nurse Anesthetist, Certified Registered in Arcadia, CA

Active since April 22, 2019
255 E SANTA CLARA ST STE 110, ARCADIA, CA 91006(626) 294-9003 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 9, 2024, Apr 22, 2019 (2 updates tracked since 2019).

About Nickerson Anesthesia & Nursing Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKERSON ANESTHESIA & NURSING INC (NPI 1003479403), doing business as Nickerson Anesthesia Inc, is a healthcare organization registered as a nurse anesthetist, certified registered in Arcadia, California and active in the NPI registry since April 2019. The organization maintains a secondary practice location in Garden Grove and lists Joseph H Nickerson, President, as its authorized official.

NPPES Registry Identity

NPI1003479403
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameNICKERSON ANESTHESIA & NURSING INC
Location Address255 E SANTA CLARA ST STE 110Arcadia, CA 91006-7233
Mailing AddressPo Box 660257Birmingham, AL 35266-0257 · (205) 979-5882 · Fax (205) 979-1248
Phone(626) 294-9003
Organization SubpartNo
Authorized OfficialJoseph H NickersonPresident · (714) 658-0091
Enumeration DateApril 22, 2019
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1003479403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(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.
255 E SANTA CLARA ST STE 110, Arcadia, CA 91006
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Other Names 1

Former Legal Business NameNickerson Anesthesia Inc

Secondary Practice Location 1

Location 112665 Garden Grove Blvd Ste 401Garden Grove, CA 92843-1918 · Phone (714) 534-8373

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nickerson Anesthesia & Nursing Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nickerson Anesthesia & Nursing Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joseph Nickerson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770648578
255 E SANTA CLARA ST STE 110
Arcadia, CA 91006
(626) 294-9003
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nickerson Anesthesia & Nursing Inc's NPI number?

The NPI number for Nickerson Anesthesia & Nursing Inc is 1003479403. It was assigned to this organization in the NPPES registry on April 22, 2019. The provider was formerly known as Nickerson Anesthesia Inc.

Where is Nickerson Anesthesia & Nursing Inc located?

Nickerson Anesthesia & Nursing Inc is located at 255 E Santa Clara St Ste 110, Arcadia, CA 91006. The listed phone number is (626) 294-9003.

What is Nickerson Anesthesia & Nursing Inc's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nickerson Anesthesia & Nursing Inc enrolled in Medicare?

Yes. Nickerson Anesthesia & Nursing Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nickerson Anesthesia & Nursing Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Nickerson Anesthesia & Nursing Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nickerson Anesthesia & Nursing Inc was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.