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MR. NICHOLAS ANTHONY FOSMIRE RN
NPI 1114793262
Nurse Anesthetist, Certified Registered in Albuquerque, NM

Active since November 29, 2023
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102(505) 727-8000 Get Directions Write a Review

NPPES record last updated: July 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Nicholas Anthony Fosmire Rn NPPES

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

MR. NICHOLAS ANTHONY FOSMIRE RN (NPI 1114793262) is an individual nurse anesthetist, certified registered in Albuquerque, New Mexico, licensed in New Mexico (89120) and active in the NPI registry since November 2023. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1114793262
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. NICHOLAS ANTHONY FOSMIRECredential: RN
Location Address601 DR MARTIN LUTHER KING JR AVE NEAlbuquerque, NM 87102-3619
Mailing Address424a Aldrup StEdwardsville, IL 62025-2102
Phone(505) 727-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateNovember 29, 2023
Last NPPES UpdateJuly 12, 2026
NPPES CertifiedJuly 12, 2026
✔ NPI 1114793262 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 NM · 89120
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.
601 DR MARTIN LUTHER KING JR AVE NE, Albuquerque, NM 87102
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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 (PECOS)

Mr. Nicholas Anthony Fosmire Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486112257
PECOS Enrollment IDI20260821002354

Medicare Billing Reassignment

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

Main Street Anesthesia Of New Mexico, LLC
Same address
Anesthesiology
601 DR MARTIN LUTHER KING JR AVE NE
Albuquerque, NM 87102
  • Reassigned Medicare billing, New Mexico enrollment
  • 383 clinicians in this Medicare group
NPI 1275010985 (505) 727-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KRISTEN D FAITH MD
Internal Medicine
601 DR MARTIN LUTHER KING JR AVE NE, HOSPITALIST DEPARTMENT
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-8000
JASON MICHAEL ROTONDA
Nurse Practitioner (Acute Care)
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-8206
MR. MICHAEL HISCOCK CLARKE PHARM D
Pharmacist
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-2897
CHRISTINA L FALKER PT, DPT
Physical Therapist
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-8172
MUHANNAD S KANBOUR MD
Internal Medicine
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-8040
VERONICA TORRES GARCIA
General Acute Care Hospital
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-8388
MR. STUART KAY OTR/L
Occupational Therapist
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-8388
DR. TONY B SALAZAR M.D.
Emergency Medicine
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-1008

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 Nicholas Fosmire's NPI number?

The NPI number for Nicholas Fosmire is 1114793262. It was assigned to this individual provider in the NPPES registry on November 29, 2023.

Where is Nicholas Fosmire located?

Nicholas Fosmire practices at 601 Dr Martin Luther King Jr Ave NE, Albuquerque, NM 87102. The listed phone number is (505) 727-8000.

What is Nicholas Fosmire's specialty?

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

Is Nicholas Fosmire enrolled in Medicare?

Yes. Nicholas Fosmire is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Fosmire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Fosmire reassigns Medicare benefits to Main Street Anesthesia Of New Mexico, LLC (Albuquerque, NM). The 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 Nicholas Fosmire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Fosmire was last updated on July 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.