NICHOLAS MASSEMINI APRN, CRNA
NPI 1093690695
Nurse Anesthetist, Certified Registered in Goodyear, AZ

Q: What is Nicholas Massemini's NPI number?

The NPI number for Nicholas Massemini is 1093690695. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Q: What is Nicholas Massemini's specialty?

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

Active since August 11, 2025

13677 W MCDOWELL RD, GOODYEAR, AZ 85395(623) 882-1500 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Aug 11, 2025 (2 updates tracked since 2025).

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About Nicholas Massemini Aprn, Crna NPPES

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

NICHOLAS MASSEMINI APRN, CRNA (NPI 1093690695) is an individual nurse anesthetist, certified registered in Goodyear, Arizona, licensed in Arizona (336433) and active in the NPI registry since August 2025. He is a graduate of Florida International Univ, College Of Medicine (2025).

NPPES Registry Identity

NPI1093690695

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameNICHOLAS MASSEMINICredential: APRN, CRNA

Location Address13677 W MCDOWELL RDGoodyear, AZ 85395-2635

Mailing Address1801 E Lake Rd Apt 17iPalm Harbor, FL 34685-2333

Phone(623) 882-1500

Sole ProprietorYes

Medical School CMSFlorida International Univ, College Of MedicineGraduated 2025

Enumeration DateAugust 11, 2025

Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1093690695 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 AZ · 336433

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 9615104 (FL), 798456 (NY)

13677 W MCDOWELL RD, Goodyear, AZ 85395

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Massemini Aprn, Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183108996

PECOS Enrollment IDI20260319002771

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.

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