NICKOLAS C SOUTHWICK CRNA
NPI 1023617362
Nurse Anesthetist, Certified Registered in Plymouth, MN
About Nickolas C Southwick Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICKOLAS C SOUTHWICK CRNA (NPI 1023617362) is an individual nurse anesthetist, certified registered in Plymouth, Minnesota, licensed in Minnesota (2342009) and active in the NPI registry since October 2020. He is affiliated with M Health Fairview Southdale Hospital, maintains a secondary practice location in Coon Rapids, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nickolas C Southwick 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNM Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55447 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
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 Nickolas Southwick's NPI number?
The NPI number for Nickolas Southwick is 1023617362. It was assigned to this individual provider in the NPPES registry on October 19, 2020.
Where is Nickolas Southwick located?
Nickolas Southwick practices at 14700 28th Ave N Ste 20, Plymouth, MN 55447. The listed phone number is (763) 559-3779.
What is Nickolas Southwick's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Nickolas Southwick enrolled in Medicare?
Yes. Nickolas Southwick 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.
Is Nickolas Southwick affiliated with any hospitals?
According to CMS data, Nickolas Southwick is affiliated with M Health Fairview Southdale Hospital and M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for Nickolas Southwick was last updated on November 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
