MR. NICKOLAS WIDENER CRNA
NPI 1669063582
Nurse Anesthetist, Certified Registered in Winston Salem, NC

Active since February 02, 2021Accepts Medicare Assignment
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103(336) 406-4343 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2021, Feb 2, 2021 (2 updates tracked since 2021).

About Mr. Nickolas Widener Crna NPPES

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

MR. NICKOLAS WIDENER CRNA (NPI 1669063582) is an individual nurse anesthetist, certified registered in Winston Salem, North Carolina, licensed in North Carolina (6537) and active in the NPI registry since February 2021. He is affiliated with North Carolina Baptist Hospital and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669063582
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. NICKOLAS WIDENERCredential: CRNA
Location Address3333 SILAS CREEK PKWYWinston Salem, NC 27103-3013
Mailing Address6632 Springfield Village LnClemmons, NC 27012-8986 · (336) 406-4343
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 2, 2021
Last NPPES UpdateMay 13, 20212 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
✔ NPI 1669063582 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 · 6537
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.
3333 SILAS CREEK PKWY, Winston Salem, NC 27103

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

Mr. Nickolas Widener 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 ID8224447503
PECOS Enrollment IDI20210518000783

Medicare Billing Reassignments

4

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

Nurse Anesthetist, Certified Registered
2025 FRONTIS PLAZA BLVD STE 200
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 58 clinicians in this Medicare group
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
Internal Medicine
509-E NORTH ELAM AVENUE, 3RD FLOOR
Greensboro, NC 27403
  • Reassigned Medicare billing, North Carolina enrollment
  • 835 clinicians in this Medicare group
Anesthesiology
8800 N TRYON ST
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,212 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.
30 services27 patients

Hospital Affiliations CMS Care Compare 2

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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.

Psychiatry & Neurology (Neurology)
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Hospitalist
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Physician Assistant (Medical)
3333 SILAS CREEK PKWY, EMERGENCY DEPARTMENT
WINSTON SALEM, NC 27103
Physician Assistant
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Pathology (Hematology)
3333 SILAS CREEK PKWY
WINSTON-SALEM, NC 27103
Physician Assistant
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Internal Medicine (Hematology)
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Nurse Practitioner (Family)
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103

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 Nickolas Widener's NPI number?

The NPI number for Nickolas Widener is 1669063582. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Nickolas Widener located?

Nickolas Widener practices at 3333 Silas Creek Pkwy, Winston Salem, NC 27103. The listed phone number is (336) 406-4343.

What is Nickolas Widener's specialty?

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

Is Nickolas Widener enrolled in Medicare?

Yes. Nickolas Widener 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 Nickolas Widener's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nickolas Widener reassigns Medicare benefits to 4 organizations: Triad Sedation Associates, LLC (Winston Salem, NC), Wake Forest University Health Sciences (Winston Salem, NC), The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC) and Chs Anesthesia Services Group Inc (Charlotte, 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 Nickolas Widener's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nickolas Widener accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Nickolas Widener 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 Nickolas Widener affiliated with any hospitals?

According to CMS data, Nickolas Widener is affiliated with North Carolina Baptist Hospital and Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Nickolas Widener was last updated on May 13, 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.