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MR. NICKOLAS K WILLARD CRNA
NPI 1073816237
Nurse Anesthetist, Certified Registered in Scottsdale, AZ

Active since December 09, 2010Accepts Medicare Assignment
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Nickolas K Willard Crna NPPES

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

MR. NICKOLAS K WILLARD CRNA (NPI 1073816237) is an individual nurse anesthetist, certified registered in Scottsdale, Arizona, licensed in Arizona (CRNA1186) and active in the NPI registry since December 2010. He maintains a secondary practice location in Chicago and is a graduate of Other (2012).

NPPES Registry Identity

NPI1073816237
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. NICKOLAS K WILLARDCredential: CRNA
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5452
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5452 · (480) 301-8000
Phone(480) 301-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 9, 2010
Last NPPES UpdateApril 24, 2018
✔ NPI 1073816237 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 AZ · CRNA1186✔ Licensed in IL · 209010303
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.
13400 E SHEA BLVD, Scottsdale, AZ 85259
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Secondary Practice Location 1

Location 1251 E Huron St # F5-704Chicago, IL 60611-2908 · Phone (801) 710-2006

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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

Mr. Nickolas K Willard 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 ID8426295031
PECOS Enrollment IDI20160412001430

Medicare Billing Reassignments

6

Medicare enrollment records show Nickolas Willard reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Valley Endoscopy Center LLC
12 mi
Ambulatory Surgical
15255 N 40TH STREET, BUILDING 8
Phoenix, AZ 85032
  • Reassigned Medicare billing, Arizona enrollment
NPI 1043239338 (602) 482-1001
Amsurg North Valley Anesthesia LLC
12 mi
Anesthesiology
15255 N 40TH ST, BLDG 8, SUITE 157
Phoenix, AZ 85032
  • Reassigned Medicare billing, Arizona enrollment
  • 42 clinicians in this Medicare group
NPI 1629351788 (602) 482-1011
Cac Anesthesia Services PLLC
14 mi
Nurse Anesthetist, Certified Registered
2421 E SOUTHERN AVE STE 7
Tempe, AZ 85282
  • Reassigned Medicare billing, Arizona enrollment
  • 17 clinicians in this Medicare group
NPI 1043056518 (480) 425-2160
Trojan Anesthesia PLLC
14 mi
Nurse Anesthetist, Certified Registered
2421 E SOUTHERN AVE STE 7
Tempe, AZ 85282
  • Reassigned Medicare billing, Arizona enrollment
  • 14 clinicians in this Medicare group
NPI 1750817300 (480) 425-2160
Vs Anesthesia Services PLLC
14 mi
Nurse Anesthetist, Certified Registered
2421 E SOUTHERN AVE STE 7
Tempe, AZ 85282
  • Reassigned Medicare billing, Arizona enrollment
  • 18 clinicians in this Medicare group
NPI 1487538294 (480) 425-2160
Virtuous Anesthesia
16 mi
Anesthesiology
610 E BASELINE RD
Tempe, AZ 85283
  • Reassigned Medicare billing, Arizona enrollment
  • 5 clinicians in this Medicare group
NPI 1881168656 (602) 903-0360

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 4

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 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.
69 services69 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
36 services36 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.
35 services34 patients
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.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

AMITKUMAR MEHTA MD
Internal Medicine (Hematology & Oncology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. DEBJIT SAHA MBBS
Internal Medicine (Critical Care Medicine)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
MICHAL REID M.D.
Internal Medicine (Pulmonary Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. DANIEL MARK FRENDL MD, PHD
Urology
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
BRETT THEODORE TOLPA CRNA
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
GINA MUNSON CRNA
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. CATALINA NICOLE FLORES MD
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
NICOLE WARRINGTON MD
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000

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 Willard's NPI number?

The NPI number for Nickolas Willard is 1073816237. It was assigned to this individual provider in the NPPES registry on December 9, 2010.

Where is Nickolas Willard located?

Nickolas Willard practices at 13400 E Shea Blvd, Scottsdale, AZ 85259. The listed phone number is (480) 301-8000.

What is Nickolas Willard's specialty?

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

Is Nickolas Willard enrolled in Medicare?

Yes. Nickolas Willard 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 Nickolas Willard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nickolas Willard reassigns Medicare benefits to 6 organizations: North Valley Endoscopy Center LLC (Phoenix, AZ), Amsurg North Valley Anesthesia LLC (Phoenix, AZ), Cac Anesthesia Services PLLC (Tempe, AZ), Trojan Anesthesia PLLC (Tempe, AZ), Vs Anesthesia Services PLLC (Tempe, AZ) and 1 more organization, listed in the Medicare section above. 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 Nickolas Willard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nickolas Willard accept?

Health plans from Blue Cross Blue Shield of Arizona list Nickolas Willard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nickolas Willard was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.