ROBERT DANIEL NICHOLAS III CRNA
NPI 1366012361
Nurse Anesthetist, Certified Registered in Suisun City, CA

Active since June 30, 2021Accepts Medicare Assignment
1781 STONEMAN DR, SUISUN CITY, CA 94585(678) 699-1559 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2024, Feb 10, 2024, Jun 30, 2021 (3 updates tracked since 2021).

About Robert Daniel Nicholas Iii Crna NPPES

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

ROBERT DANIEL NICHOLAS III CRNA (NPI 1366012361) is an individual nurse anesthetist, certified registered in Suisun City, California, licensed in California (95002292) and active in the NPI registry since June 2021. He is affiliated with Piedmont Henry Hospital, maintains a secondary practice location in Stockbridge, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366012361
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameROBERT DANIEL NICHOLAS IIICredential: CRNA
Location Address1781 STONEMAN DRSuisun City, CA 94585-3218
Mailing Address1781 Stoneman DrSuisun City, CA 94585-3218 · (678) 699-1559
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 30, 2021
Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1366012361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95002292
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN225769 (GA)
1781 STONEMAN DR, Suisun City, CA 94585

Secondary Practice Location 1

Location 11133 Eagles Landing PkwyStockbridge, GA 30281-5085 · Phone (678) 604-1053

Accepted 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

Robert Daniel Nicholas Iii 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 ID3971944091
PECOS Enrollment IDI20240507002983, I20241126001068

Medicare Billing Reassignments

10

Medicare enrollment records show Robert Nicholas reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
2700 LOW CT FL 2
Fairfield, CA 94534
  • Reassigned Medicare billing, California enrollment
  • 64 clinicians in this Medicare group
Multi-Specialty
2720 LOW CT
Fairfield, CA 94534
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Anesthesiology
7341 N 1ST ST STE 106
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 293 clinicians in this Medicare group
Anesthesiology
914 PINE ST
Mount Shasta, CA 96067
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
130 E MAIN ST STE 200
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 60 clinicians in this Medicare group
Anesthesiology
130 E MAIN ST STE 200
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 66 clinicians in this Medicare group
Anesthesiology
130 E MAIN ST STE 200
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 70 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3968 FELTON HILL RD SW, 100
Smyrna, GA 30082
  • Reassigned Medicare billing, Georgia enrollment
  • 61 clinicians in this Medicare group
Anesthesiology
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 713 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.

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.
36 services33 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
14 services14 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
14 services14 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
14 services14 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94585 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
$145.83 typical visit price
range $65.02 – $191.95
Typical copayment $36.45 (range $16.25 – $47.98)
Most-billed visit code 99204
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
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.

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 Robert Nicholas's NPI number?

The NPI number for Robert Nicholas is 1366012361. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Robert Nicholas located?

Robert Nicholas practices at 1781 Stoneman Dr, Suisun City, CA 94585. The listed phone number is (678) 699-1559.

What is Robert Nicholas's specialty?

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

Is Robert Nicholas enrolled in Medicare?

Yes. Robert Nicholas 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 Robert Nicholas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Nicholas reassigns Medicare benefits to 10 organizations: Green Anesthesia (Fairfield, CA), Sutter Valley Medical Foundation (Fairfield, CA), Permanente Medical Group Inc (Vallejo, CA), Valley Regional Anesthesia Associates Inc (Fresno, CA), Parish Anesthesia Of California, A Professional Medical Corporation (Mount Shasta, CA) and 5 more organizations, listed in the Medicare section above. 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 Robert Nicholas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Nicholas accept?

Health plans from Oscar Health and Oscar Insurance Company list Robert Nicholas 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 Robert Nicholas affiliated with any hospitals?

According to CMS data, Robert Nicholas is affiliated with Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Robert Nicholas was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.