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BROC NICHELSON
NPI 1154711497
Nurse Anesthetist, Certified Registered in Toledo, OH

Active since January 26, 2015Accepts Medicare Assignment
2142 N COVE BLVD, TOLEDO, OH 43606(419) 291-4491(419) 479-6905 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Broc Nichelson NPPES

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

BROC NICHELSON (NPI 1154711497) is an individual nurse anesthetist, certified registered in Toledo, Ohio, licensed in Ohio (APRN.CRNA.16984) and active in the NPI registry since January 2015. He is affiliated with Mercy Health - Defiance Hospital and is a graduate of Other (2014).

NPPES Registry Identity

NPI1154711497
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBROC NICHELSON
Location Address2142 N COVE BLVDToledo, OH 43606-3895
Mailing Address333 N Summit St Fl 7Toledo, OH 43604-1531 · Fax (419) 824-7359
Phone(419) 291-4491
Fax(419) 479-6905
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 26, 2015
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1154711497 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 OH · APRN.CRNA.16984✔ Licensed in OH · 16984-NA
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.
2142 N COVE BLVD, Toledo, OH 43606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Broc Nichelson 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 ID2961727607
PECOS Enrollment IDI20150220001702

Medicare Billing Reassignments

4

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

Promedica Central Physicians
3.6 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964
Northern Anesthesia Providers, LLC
29 mi
Nurse Anesthetist, Certified Registered
725 S SHOOP AVE
Wauseon, OH 43567
  • Reassigned Medicare billing, Ohio enrollment
  • 16 clinicians in this Medicare group
NPI 1821498650 (419) 335-2015
Ohio Anesthesia Group, Inc
129 mi
Anesthesiology
1320 MERCY DR NW
Canton, OH 44708
  • Reassigned Medicare billing, Ohio enrollment
  • 554 clinicians in this Medicare group
NPI 1639348113 (330) 656-5215
Anesthesia & Intensive Care Consultants,inc.
181 mi
Anesthesiology
3000 HOSPITAL DR
Batavia, OH 45103
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Southwest Ohio Anesthesia Consultants LLC
  • 830 clinicians in this Medicare group
NPI 1164859013 (859) 341-7246

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

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 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.
35 services35 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
22 services22 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.
21 services20 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.
15 services15 patients
Anesthesia for other procedure on lower abdomen 00840
Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health - Defiance Hospital

Acute Care Hospitals · Defiance, OH
4/5 CMS rating
OwnershipProprietary
CMS Certification Number360270
Location1404 East Second StreetDefiance, OH 43512 · Defiance County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

ERICA DEVRIES MD
Pediatrics
2142 N COVE BLVD, 5-NORTH PEDIATRICS
TOLEDO, OH 43606
Lucas County (419) 291-4000
PROMEDICA CENTRAL PHYSICIANS LLC
Hospitalist
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-4000
LYNDSAY BRENTLINGER CRNA
Nurse Anesthetist, Certified Registered
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 531-8808
NICHOLAS ANTHONY SCOTT MD
Emergency Medicine
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-4000
DAVID HAYDEN
Pharmacy Technician
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-4000
MUHAMMAD RIZWAN FAISAL M.D.
Internal Medicine
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-1111
KAREN CAPUTO NP
Nurse Practitioner
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-4101
PROMEDICA CONTINUING CARE SERVICES CORP.
Durable Medical Equipment & Medical Supplies
2142 N COVE BLVD, SUITE 100
TOLEDO, OH 43606
Lucas County (419) 291-6840

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 Broc Nichelson's NPI number?

The NPI number for Broc Nichelson is 1154711497. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Broc Nichelson located?

Broc Nichelson practices at 2142 N Cove Blvd, Toledo, OH 43606. The listed phone number is (419) 291-4491.

What is Broc Nichelson's specialty?

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

Is Broc Nichelson enrolled in Medicare?

Yes. Broc Nichelson 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 Broc Nichelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Broc Nichelson reassigns Medicare benefits to 4 organizations: Promedica Central Physicians (Toledo, OH), Northern Anesthesia Providers, LLC (Wauseon, OH), Ohio Anesthesia Group, Inc (Canton, OH) and Anesthesia & Intensive Care Consultants,inc. (Batavia, OH). 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 Broc Nichelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Broc Nichelson accept?

Health plans from CareSource list Broc Nichelson 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.

Is Broc Nichelson affiliated with any hospitals?

According to CMS data, Broc Nichelson is affiliated with Mercy Health - Defiance Hospital.

When was this NPI record last updated?

The NPPES record for Broc Nichelson was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.