SAMANTHA SUE NICHOLSON CRNA
NPI 1578223285
Nurse Anesthetist, Certified Registered in Falls Church, VA
About Samantha Sue Nicholson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA SUE NICHOLSON CRNA (NPI 1578223285) is an individual nurse anesthetist, certified registered in Falls Church, Virginia, licensed in Virginia (0024183333) and active in the NPI registry since December 2021. She is affiliated with Inova Fairfax Hospital and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Samantha Sue Nicholson 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.
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Nicholson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia enrollment
- 455 clinicians in this Medicare group
Alexandria, VA 22306
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 634 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inova Fairfax Hospital
Acute Care Hospitals · Falls Church, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FALLS CHURCH, VA 22042
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 Samantha Nicholson's NPI number?
The NPI number for Samantha Nicholson is 1578223285. It was assigned to this individual provider in the NPPES registry on December 21, 2021.
Where is Samantha Nicholson located?
Samantha Nicholson practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-3138.
What is Samantha Nicholson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Samantha Nicholson enrolled in Medicare?
Yes. Samantha Nicholson 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 Samantha Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Nicholson reassigns Medicare benefits to 2 organizations: American Anesthesiology Of Virginia PC (Falls Church, VA) and Northstar Anesthesia Of Virginia, LLC (Alexandria, VA). 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 Samantha Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samantha Nicholson affiliated with any hospitals?
According to CMS data, Samantha Nicholson is affiliated with Inova Fairfax Hospital.
When was this NPI record last updated?
The NPPES record for Samantha Nicholson was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samantha Sue Nicholson, CRNA · NPI 1578223285
Nurse Anesthetist, Certified Registered physician in Falls Church, Virginia. Individual provider, active in the CMS NPPES registry since December 21, 2021.
## Identity
- **NPI:** 1578223285 (Entity type: Individual)
- **Enumerated:** December 21, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 0024183333 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3300 GALLOWS RD, Falls Church, VA 22042-3307
- **Phone:** (703) 776-3138
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): American Anesthesiology Of Virginia PC (NPI 1417994872, Falls Church, VA); Northstar Anesthesia Of Virginia, LLC (NPI 1194488791, Alexandria, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1578223285) · Data from the CMS NPPES public registry.