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NICHOLAS WILLIAM METAKES CRNA
NPI 1023308723
Nurse Anesthetist, Certified Registered in Daytona Beach, FL

Active since April 14, 2011Accepts Medicare Assignment
78.18/100
CMS Quality Rating
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 254-4000 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholas William Metakes Crna NPPES

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

NICHOLAS WILLIAM METAKES CRNA (NPI 1023308723) is an individual nurse anesthetist, certified registered in Daytona Beach, Florida, licensed in Florida (RN9269658) and active in the NPI registry since April 2011. He is affiliated with Halifax Health Medical Center and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023308723
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameNICHOLAS WILLIAM METAKESCredential: CRNA
Location Address303 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2709
Mailing Address255 W Michigan AveJackson, MI 49201-2218 · (800) 516-5315 · Fax (517) 787-7365
Phone(386) 254-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 14, 2011
Last NPPES UpdateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1023308723 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
Licenses✔ Licensed in FL · RN9269658✔ Licensed in FL · APRN9269658
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.
303 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas William Metakes Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466622501
PECOS Enrollment IDI20110830000088

Medicare Billing Reassignments

4

Medicare enrollment records show Nicholas Metakes reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orange City Anesthesia Services LLC
25 mi
Anesthesiology
975 TOWN CENTER DR STE 100
Orange City, FL 32763
  • Reassigned Medicare billing, Florida enrollment
  • 129 clinicians in this Medicare group
NPI 1972882314 (386) 456-5247
Us Anesthesia Partners Of Florida Inc.
44 mi
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
NPI 1518910520 (321) 422-7155
Space Coast Anesthesia Services LLC
61 mi
Anesthesiology
595 N COURTENAY PKWY, 103
Merritt Island, FL 32953
  • Reassigned Medicare billing, Florida enrollment
  • 103 clinicians in this Medicare group
NPI 1942441753 (813) 569-6500
Florida Clinical Practice Association Inc
83 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01940
This is a procedure where anesthesia is applied to numb specific nerves in your lower back. Using imaging guidance, the doctor can accurately locate these nerves through the skin. This is done to alleviate pain by disrupting nerve signals. It's a safe and effective method.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Reported Quality Measures

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
70%254 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELICA DIEZ
Physician Assistant
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 425-4000
SAVANNA HANH DUONG PA-C
Physician Assistant
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (877) 842-5432
RADIATION ONCOLOGY ASSOCIATES OF CENTRAL FLORIDA,PA
Radiology (Radiation Oncology)
303 N CLYDE MORRIS BLVD, ROC GROUND FLOOR
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4220
DR. RICHARD CARL WEISS MD
Internal Medicine (Hematology & Oncology)
303 N CLYDE MORRIS BLVD, HALIFAX REGIONAL ONCOLOGY CENTER
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4212
ALEXANDRA CROSSMAN MD
Internal Medicine (Infectious Disease)
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 589-5741
ARMANDO FERNANDEZ PA
Physician Assistant (Medical)
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4000
ALEXANDRA CROSSMAN MD PA
Internal Medicine (Infectious Disease)
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 589-5741
NATALIE-ROSE SMITH DO
Emergency Medicine
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (407) 697-9118

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 Nicholas Metakes's NPI number?

The NPI number for Nicholas Metakes is 1023308723. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Where is Nicholas Metakes located?

Nicholas Metakes practices at 303 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 254-4000.

What is Nicholas Metakes's specialty?

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

Is Nicholas Metakes enrolled in Medicare?

Yes. Nicholas Metakes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicholas Metakes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Metakes reassigns Medicare benefits to 4 organizations: Orange City Anesthesia Services LLC (Orange City, FL), Us Anesthesia Partners Of Florida Inc. (Maitland, FL), Space Coast Anesthesia Services LLC (Merritt Island, FL) and Florida Clinical Practice Association Inc (Gainesville, FL). Each 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 Nicholas Metakes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicholas Metakes affiliated with any hospitals?

According to CMS data, Nicholas Metakes is affiliated with Halifax Health Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Metakes was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.