NICOLE DAVIS MOCK CRNA
NPI 1396931895
Nurse Anesthetist, Certified Registered in Raleigh, NC

Active since September 18, 2007Accepts Medicare Assignment
4420 LAKE BOONE TRL, RALEIGH, NC 27607(919) 784-3034 Get Directions Write a Review

NPPES record last updated: December 15, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Davis Mock Crna NPPES

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

NICOLE DAVIS MOCK CRNA (NPI 1396931895) is an individual nurse anesthetist, certified registered in Raleigh, North Carolina, licensed in North Carolina (145026) and active in the NPI registry since September 2007. She is affiliated with Onslow Memorial Hospital and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396931895
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameNICOLE DAVIS MOCKCredential: CRNA
Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-7505
Mailing Address3245 Rogers RdGraham, NC 27253-7716 · (336) 226-6527
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 18, 2007
Last NPPES UpdateDecember 15, 2009
✔ NPI 1396931895 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
License✔ Licensed in NC · 145026
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.
4420 LAKE BOONE TRL, Raleigh, NC 27607

Other Identifiers 3

Medicare PIN2621630NC
OtherP00449817NC · Railraod-medicare
Medicaid8052990NC

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

Nicole Davis Mock 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 ID3476641234
PECOS Enrollment IDI20071113000422

Medicare Billing Reassignments

5

Medicare enrollment records show Nicole Mock reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
110 CAPCOM AVE STE 200
Wake Forest, NC 27587
  • Reassigned Medicare billing, North Carolina enrollment
  • 652 clinicians in this Medicare group
Anesthesiology
600 GREEN VALLEY ROAD, SUITE 304
Greensboro, NC 27408
  • Reassigned Medicare billing, North Carolina enrollment
  • 223 clinicians in this Medicare group
Rural Health
16 3RD ST
Dublin, NC 28332
  • Reassigned Medicare billing, North Carolina enrollment
  • 170 clinicians in this Medicare group
Anesthesiology
317 WESTERN BLVD
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 29 clinicians in this Medicare group
General Acute Care Hospital
3500 ARENDELL ST
Morehead City, NC 28557
  • Reassigned Medicare billing, North Carolina enrollment
  • 62 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

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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Physician Assistant
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Nurse Practitioner (Family)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Registered Nurse (Critical Care Medicine)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Physician Assistant
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Internal Medicine (Hematology & Oncology)
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607

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 Nicole Mock's NPI number?

The NPI number for Nicole Mock is 1396931895. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Where is Nicole Mock located?

Nicole Mock practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-3034.

What is Nicole Mock's specialty?

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

Is Nicole Mock enrolled in Medicare?

Yes. Nicole Mock 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 Nicole Mock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Mock reassigns Medicare benefits to 5 organizations: American Anesthesiology Of North Carolina, PLLC (Wake Forest, NC), Southeast Anesthesiology Consultants, PLLC (Greensboro, NC), Bladen Healthcare, LLC (Dublin, NC), Onslow Memorial Hospital, Inc. (Jacksonville, NC) and Carteret County General Hospital Corporation (Morehead City, NC). 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 Nicole Mock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Mock accept?

Health plans from Cigna Healthcare list Nicole Mock 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 Nicole Mock affiliated with any hospitals?

According to CMS data, Nicole Mock is affiliated with Onslow Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Mock was last updated on December 15, 2009. 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.