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SUSAN C NICOLSON M.D.
NPI 1255344438
Anesthesiology - Pediatric Anesthesiology in Philadelphia, PA

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
34TH STREET & CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104(215) 590-1867(215) 590-5824 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susan C Nicolson M.d. NPPES

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

SUSAN C NICOLSON M.D. (NPI 1255344438) is an individual pediatric anesthesiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD024170E) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1976).

NPPES Registry Identity

NPI1255344438
Entity TypeIndividualFemale
Primary Taxonomy207LP3000X
Provider Legal NameSUSAN C NICOLSONCredential: M.D.
Location Address34TH STREET & CIVIC CENTER BLVD, SUITE 9329Philadelphia, PA 19104-4399
Mailing Address100 E Penn Sq, The Wanamaker Building, 9th FloorPhiladelphia, PA 19107-3323 · (297) 425-9300 · Fax (297) 425-9331
Phone(215) 590-1867
Fax(215) 590-5824
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1976
Enumeration DateAugust 15, 2006
Last NPPES UpdateApril 11, 2013
✔ NPI 1255344438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
License✔ Licensed in PA · MD024170E
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
Also ListedAnesthesiologyTaxonomy 207L00000X · License MD024170E (PA)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License MD024170E (PA)
Also ListedPediatricsTaxonomy 208000000X · License MD024170E (PA)
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License MD024170E (PA)
34TH STREET & CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Identifiers 5

Other097501J6ZPA · Medicare Ptan Pain Management
Medicaid0009928990PA
Other181300EJLPA · Medicare Ptan
Other097501EMDPA · Medicare Ptan Ccm
Medicare UPINB36280PR

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

Susan C Nicolson M.d. 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 ID5496646846
PECOS Enrollment IDI20100628000144
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Children's Anesthesiology Associates, Ltd
Same address
Pain Medicine
3401 CIVIC CENTER BLVD
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Childrens Anesthesiology Associates Ltd
  • 216 clinicians in this Medicare group
NPI 1215048491 (215) 590-1000

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 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

NANCY ALLANOFF BRAVEMAN PSY.D.
Psychologist (Clinical)
34TH STREET & CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
JOHN P BERNARDI D.O.
Anesthesiology (Pediatric Anesthesiology)
34TH STREET & CIVIC CENTER BLVD, SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
WILLIAM J GREELEY M.D.
Anesthesiology (Pediatric Anesthesiology)
34TH STREET & CIVIC CENTER BLVD, SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
JENNIFER SHERKER PSY.D.
Psychologist (Clinical)
34TH STREET & CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
MS. SHARON BLAKENY FARRELL CRNP
Nurse Practitioner (Pediatrics)
34TH STREET & CIVIC CENTER BLVD, 2ND FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1527
LYNN G MAXWELL M.D.
Anesthesiology (Pediatric Anesthesiology)
34TH STREET & CIVIC CENTER BLVD, SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
DR. DEVIKA SINGH MD
Anesthesiology (Pediatric Anesthesiology)
34TH STREET & CIVIC CENTER BLVD, SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
MISS KELLY ANNE RYAN CRNP
Nurse Practitioner (Pediatrics)
34TH STREET & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (856) 906-2149

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 Susan Nicolson's NPI number?

The NPI number for Susan Nicolson is 1255344438. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Susan Nicolson located?

Susan Nicolson practices at 34th Street & Civic Center Blvd Suite 9329, Philadelphia, PA 19104. The listed phone number is (215) 590-1867.

What is Susan Nicolson's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Susan Nicolson enrolled in Medicare?

Yes. Susan Nicolson 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 organization bills Medicare for Susan Nicolson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Nicolson reassigns Medicare benefits to Children's Anesthesiology Associates, Ltd (Philadelphia, PA). 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 Susan Nicolson'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 Susan Nicolson was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.