NICOLE BRAININ
NPI 1104502038
Nurse Anesthetist, Certified Registered in Edwardsville, IL

Active since June 26, 2023Accepts Medicare Assignment
29 SOUTH CHERRY HLS, EDWARDSVILLE, IL 62025(630) 649-8821 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Brainin NPPES

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

NICOLE BRAININ (NPI 1104502038) is an individual nurse anesthetist, certified registered in Edwardsville, Illinois, licensed in Illinois (041.441505) and active in the NPI registry since June 2023. She is affiliated with Amita Health Resurrection Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104502038
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameNICOLE BRAININ
Location Address29 SOUTH CHERRY HLSEdwardsville, IL 62025
Mailing Address29 South Cherry HlsEdwardsville, IL 62025 · (630) 649-8821
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
NPI 1104502038 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
License Licensed in IL · 041.441505
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.

29 SOUTH CHERRY HLS, Edwardsville, IL 62025

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

Nicole Brainin 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 ID8527508803
PECOS Enrollment IDI20240913000121

Hospital Affiliations CMS Care Compare

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

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62025 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104502038, enumerated as an "individual" on June 26, 2023.

The provider is located at 29 SOUTH CHERRY HLS EDWARDSVILLE, IL 62025 and the phone number is (630) 649-8821.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Nicole Brainin is affiliated with: AMITA HEALTH RESURRECTION MEDICAL CENTER.