NICOLE LETELLIER
NPI 1063114874
Nurse Anesthetist, Certified Registered in Grove City, OH

Q: What is Nicole Letellier's NPI number?

The NPI number for Nicole Letellier is 1063114874. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Q: What is Nicole Letellier's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Letellier was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 17, 2023Accepts Medicare Assignment

5300 N MEADOWS DR, GROVE CITY, OH 43123(614) 663-5000 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 30, 2023, Mar 17, 2023 (2 updates tracked since 2023).

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About Nicole Letellier NPPES

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

NICOLE LETELLIER (NPI 1063114874) is an individual nurse anesthetist, certified registered in Grove City, Ohio, licensed in Ohio (0020852) and active in the NPI registry since March 2023. She is affiliated with Mount Carmel East & West and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063114874

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameNICOLE LETELLIER

Location Address5300 N MEADOWS DRGrove City, OH 43123-2546

Mailing Address366 King Ave Apt AColumbus, OH 43201-2616 · (419) 618-1253

Phone(614) 663-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 17, 2023

Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1063114874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in OH · 0020852

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.441706 (OH)

5300 N MEADOWS DR, Grove City, OH 43123

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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

Nicole Letellier 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 ID2668827882

PECOS Enrollment IDI20231009000869

Medicare Billing Reassignment

Medicare enrollment records show Nicole Letellier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Anesthesia Of Ohio LLC

0.7 mi

Anesthesiology

5300 N MEADOWS DR
Grove City, OH 43123

Reassigned Medicare billing, Ohio enrollment
280 clinicians in this Medicare group

NPI 1699196022 (614) 663-5000

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 3

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 exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

22 services22 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

18 services16 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360035

Location6001 East Broad StreetColumbus, OH 43213 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43123 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

LUKE BRESSLER

Student in an Organized Health Care Education/Training Program