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LIBERTY NICKELSBERG CRNA
NPI 1700022845
Nurse Anesthetist, Certified Registered in Philadelphia, PA

Active since December 19, 2008Accepts Medicare Assignment
5501 OLD YORK RD, TOWER 3, PHILADELPHIA, PA 19141(215) 456-3948(215) 254-2599 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Liberty Nickelsberg Crna NPPES

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

LIBERTY NICKELSBERG CRNA (NPI 1700022845) is an individual nurse anesthetist, certified registered in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN528329L) and active in the NPI registry since December 2008. She is affiliated with Albert Einstein Medical Center and is a graduate of Other (2008).

NPPES Registry Identity

NPI1700022845
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLIBERTY NICKELSBERGCredential: CRNA
Location Address5501 OLD YORK RD, TOWER 3Philadelphia, PA 19141-3018
Mailing Address101 E Olney Ave, Suite 400Philadelphia, PA 19120-2421 · (215) 456-7000 · Fax (215) 254-2599
Phone(215) 456-3948
Fax(215) 254-2599
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 19, 2008
Last NPPES UpdateFebruary 22, 2013
✔ NPI 1700022845 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 PA · RN528329L
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.
5501 OLD YORK RD, Philadelphia, PA 19141
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Other Names 1

Former Name (1)Liberty Tambasacan

Other Identifiers 1

OtherRN528329LPA · Crna License

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

Liberty Nickelsberg 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 ID1052464997
PECOS Enrollment IDI20090724000633

Medicare Billing Reassignments

2

Medicare enrollment records show Liberty Nickelsberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Einstein Practice Plan Inc
Same address
Anatomic Pathology & Clinical Pathology
5501 OLD YORK RD
Phila, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1114970407 (215) 456-6157
North American Partners In Anesthesia, Pennsylvania , LLC
104 mi
Anesthesiology
1305 WALT WHITMAN RD STE 300
Melville, NY 11747
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 928 clinicians in this Medicare group
NPI 1639137854 (516) 946-3000

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.

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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.

KENNETH KLECKNER MD
Emergency Medicine
5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6679
MS. AMMAN HASSAN MD
Pediatrics
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3810
TAYLOR NICOLE THOMPSON PA-C
Physician Assistant (Medical)
5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141
Philadelphia County (215) 254-2630
STEPHEN RYAN CHEN
Orthopaedic Surgery
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. DHRUV SHARMA MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
TIMOTHY DANIEL GARDNER DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. JONATHAN THOMAS LUCIANI DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
ASHIKA KAPOOR MD
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD
PHILA, PA 19141
Philadelphia County (215) 456-8103

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 Liberty Nickelsberg's NPI number?

The NPI number for Liberty Nickelsberg is 1700022845. It was assigned to this individual provider in the NPPES registry on December 19, 2008. The provider is also known as Liberty Tambasacan.

Where is Liberty Nickelsberg located?

Liberty Nickelsberg practices at 5501 Old York Rd Tower 3, Philadelphia, PA 19141. The listed phone number is (215) 456-3948.

What is Liberty Nickelsberg's specialty?

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

Is Liberty Nickelsberg enrolled in Medicare?

Yes. Liberty Nickelsberg 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 Liberty Nickelsberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Liberty Nickelsberg reassigns Medicare benefits to 2 organizations: Einstein Practice Plan Inc (Phila, PA) and North American Partners In Anesthesia, Pennsylvania , LLC (Melville, NY). 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 Liberty Nickelsberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Liberty Nickelsberg affiliated with any hospitals?

According to CMS data, Liberty Nickelsberg is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Liberty Nickelsberg was last updated on February 22, 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.