MS. NICHOLE CUDDEBACK CRNA
NPI 1124350137
Nurse Anesthetist, Certified Registered in Sandy, UT

Active since February 02, 2010Accepts Medicare Assignment
79.72/100
CMS Quality Rating
9660 S 1300 E, SANDY, UT 84094(801) 727-2056(770) 701-6675 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2023, Oct 18, 2016 (2 updates tracked since 2016).

About Ms. Nichole Cuddeback Crna NPPES

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

MS. NICHOLE CUDDEBACK CRNA (NPI 1124350137) is an individual nurse anesthetist, certified registered in Sandy, Utah, licensed in Utah (3094717-4406) and active in the NPI registry since February 2010. She maintains 2 additional practice locations and is a graduate of Georgetown University School Of Medicine (2009).

NPPES Registry Identity

NPI1124350137
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. NICHOLE CUDDEBACKCredential: CRNA
Location Address9660 S 1300 ESandy, UT 84094-3762
Mailing Address11820 S State St Ste 150Draper, UT 84020-7140 · (801) 568-0200 · Fax (801) 563-0200
Fax(770) 701-6675
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2009
Enumeration DateFebruary 2, 2010
Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
NPI 1124350137 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 UT · 3094717-4406 Licensed in VA · 0024168646
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.
9660 S 1300 E, Sandy, UT 84094

Secondary Practice Locations 2

Location 11164 E Bella Vista DrFruit Heights, UT 84037-2237 · Phone (801) 663-6438
Location 211820 S State St Ste 150Draper, UT 84020-7140 · Phone (801) 568-0200 · Fax (801) 563-0200

Other Identifiers 1

Medicaid1124350137VA

Accepted Insurance

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

Ms. Nichole Cuddeback 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 ID9830227743
PECOS Enrollment IDI20161014001154

Areas of Expertise CMS Part B claims 5

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 lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
26 services25 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.
21 services20 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.
19 services19 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 services18 patients
Anesthesia for other procedure on neck area (1 year or older) 00320
Anesthesia for a procedure on the neck area is a medical service provided to ensure you remain comfortable and pain-free during the operation. It involves administering medication to numb the neck region or to induce sleep. The method chosen depends on the specific procedure and your overall health.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84094 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Improvement Activities40
Cost63.86

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.

Specialist
9660 S 1300 E
SANDY, UT 84094
Surgery
9660 S 1300 E
SANDY, UT 84094
Occupational Therapist
9660 S 1300 E
SANDY, UT 84094
Emergency Medicine (Emergency Medical Services)
9660 S 1300 E
SANDY, UT 84094
Emergency Medicine (Emergency Medical Services)
9660 S 1300 E
SANDY, UT 84094
Registered Nurse
9660 S 1300 E
SANDY, UT 84094
Emergency Medicine (Emergency Medical Services)
9660 S 1300 E
SANDY, UT 84094
Emergency Medicine (Emergency Medical Services)
9660 S 1300 E
SANDY, UT 84094

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 Nichole Cuddeback's NPI number?

The NPI number for Nichole Cuddeback is 1124350137. It was assigned to this individual provider in the NPPES registry on February 2, 2010.

Where is Nichole Cuddeback located?

Nichole Cuddeback practices at 9660 S 1300 E, Sandy, UT 84094. The listed phone number is (801) 727-2056.

What is Nichole Cuddeback's specialty?

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

Is Nichole Cuddeback enrolled in Medicare?

Yes. Nichole Cuddeback 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.

What insurance does Nichole Cuddeback accept?

Health plans from Select Health list Nichole Cuddeback 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 Nichole Cuddeback was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.