MR. BROCK VICTOR NYQUIST C.R.N.A., MSN
NPI 1134218969
Nurse Anesthetist, Certified Registered in Santa Ana, CA

Active since October 12, 2006Accepts Medicare Assignment
902 N GRAND AVE, SANTA ANA, CA 92701(562) 544-8804 Get Directions Write a Review

NPPES record last updated: October 1, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Brock Victor Nyquist C.r.n.a., Msn NPPES

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

MR. BROCK VICTOR NYQUIST C.R.N.A., MSN (NPI 1134218969) is an individual nurse anesthetist, certified registered in Santa Ana, California, licensed in California (3079) and active in the NPI registry since October 2006. He is a graduate of Other (2003).

NPPES Registry Identity

NPI1134218969
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. BROCK VICTOR NYQUISTCredential: C.R.N.A., MSN
Location Address902 N GRAND AVESanta Ana, CA 92701-4218
Mailing Address5701 E 2nd St, #8Long Beach, CA 90803-5072 · (562) 439-1609
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 12, 2006
Last NPPES UpdateOctober 1, 2010
✔ NPI 1134218969 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 CA · 3079✔ Licensed in CA · 489087
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.
902 N GRAND AVE, Santa Ana, CA 92701

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. Brock Victor Nyquist C.r.n.a., Msn 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 ID143110759
PECOS Enrollment IDI20040317001312

Medicare Billing Reassignments

4

Medicare enrollment records show Brock Nyquist reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1001 N TUSTIN AVE
Santa Ana, CA 92705
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group
Anesthesiology
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 270 clinicians in this Medicare group
Anesthesiologist Assistant
18300 US HIGHWAY 18
Apple Valley, CA 92307
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
Anesthesiology
420 34TH ST
Bakersfield, CA 93301
  • Reassigned Medicare billing, California enrollment
  • 183 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92701 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Interpreter
902 N GRAND AVE
SANTA ANA, CA 92701
Internal Medicine
902 N GRAND AVE
SANTA ANA, CA 92701
Specialist
902 N GRAND AVE, SUITE 100
SANTA ANA, CA 92701

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 Brock Nyquist's NPI number?

The NPI number for Brock Nyquist is 1134218969. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Brock Nyquist located?

Brock Nyquist practices at 902 N Grand Ave, Santa Ana, CA 92701. The listed phone number is (562) 544-8804.

What is Brock Nyquist's specialty?

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

Is Brock Nyquist enrolled in Medicare?

Yes. Brock Nyquist 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 Brock Nyquist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brock Nyquist reassigns Medicare benefits to 4 organizations: Anesthesia Associates Of Southern California PC (Santa Ana, CA), Palm Springs Anesthesia Services, PC (San Bernardino, CA), Cp Nursing Anesthesia Services Inc (Apple Valley, CA) and Coachella Valley Anesthesia A Professional Corporation (Bakersfield, CA). 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 Brock Nyquist'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 Brock Nyquist was last updated on October 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.